KOSTKO MEDICAL PLLC
NPI 1568853158
Internal Medicine in Rego Park, NY

Active since February 18, 2015
9932 66TH RD STE LP, REGO PARK, NY 11374(718) 459-8900(718) 459-8903 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2025, Apr 13, 2020 (2 updates tracked since 2020).

About Kostko Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOSTKO MEDICAL PLLC (NPI 1568853158) is a healthcare organization registered as an internal medicine in Rego Park, New York and active in the NPI registry since February 2015. The organization lists Semyon Kostko, President, as its authorized official.

NPPES Registry Identity

NPI1568853158
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKOSTKO MEDICAL PLLC
Location Address9932 66TH RD STE LPRego Park, NY 11374-4401
Mailing Address9932 66th Rd Ste LpRego Park, NY 11374-4401 · (718) 459-8900 · Fax (718) 459-8903
Fax(718) 459-8903
Organization SubpartNo
Authorized OfficialSemyon KostkoPresident · (718) 459-8900
Enumeration DateFebruary 18, 2015
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1568853158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9932 66TH RD STE LP, Rego Park, NY 11374

Other Identifiers 1

Medicaid04093165NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kostko Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Kostko Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1467490896
9932 66TH RD STE LP
Rego Park, NY 11374
(718) 275-5200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1013954163
78-15 LINDEN BLVD SUITE B
Howard Beach, NY 11414
(718) 674-7896
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1871035238
7217 AVENUE U
Brooklyn, NY 11234
(347) 863-0777
✔ PECOS✔ Accepts Medicare7.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kostko Medical PLLC's NPI number?

The NPI number for Kostko Medical PLLC is 1568853158. It was assigned to this organization in the NPPES registry on February 18, 2015.

Where is Kostko Medical PLLC located?

Kostko Medical PLLC is located at 9932 66th Rd Ste LP, Rego Park, NY 11374. The listed phone number is (718) 459-8900.

What is Kostko Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kostko Medical PLLC enrolled in Medicare?

Yes. Kostko Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kostko Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Kostko Medical PLLC, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kostko Medical PLLC was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.