DR. MASSIMO COSTALONGA D.M.D., PH.D.
NPI 1649563040
Dentist - Periodontics in Minneapolis, MN

Q: What is Massimo Costalonga's NPI number?

The NPI number for Massimo Costalonga is 1649563040. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Q: What is Massimo Costalonga's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since May 18, 2011PECOS Enrolled

516 DELAWARE ST SE, 7-300 PWB, MINNEAPOLIS, MN 55455(612) 626-3233 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Massimo Costalonga D.m.d., Ph.d. NPPES

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

DR. MASSIMO COSTALONGA D.M.D., PH.D. (NPI 1649563040) is an individual periodontics provider in Minneapolis, Minnesota, licensed in Minnesota (D11846) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649563040

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. MASSIMO COSTALONGACredential: D.M.D., PH.D.

Location Address516 DELAWARE ST SE, 7-300 PWBMinneapolis, MN 55455-0356

Mailing Address515 Delaware St Se, 7-368 MoostMinneapolis, MN 55455-0357

Phone(612) 626-3233

Sole ProprietorYes

Enumeration DateMay 18, 2011

✔ NPI 1649563040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MN · D11846

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

516 DELAWARE ST SE, Minneapolis, MN 55455

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Massimo Costalonga D.m.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA LYNN BERSHOW MD

Dermatology

516 DELAWARE ST SE, 4-240, PHILLIPS-WANGENSTEEN BLDG.
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-8625

UNIVERSITY OF MINNESOTA DEPARTMENT OF OPHTHALMOLOGY

Clinic/Center (Ophthalmologic Surgery)

516 DELAWARE ST SE, DEPARTMENT OF OPHTHALMOLOGY
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-4400

BROOKE KANEY MSW, LICSW

Social Worker (Clinical)

516 DELAWARE ST SE, CLINIC 1C
MINNEAPOLIS, MN 55455

Hennepin County (612) 273-6191

HUDA SHEHEITLI M.D.

Ophthalmology

516 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 672-7422

JAMES EDWARD HINRICHS

Dentist (Periodontics)

516 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Hennepin County (612) 626-3533

JOSE ERNESTO MOLINA MD

Surgery

516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3B
MINNEAPOLIS, MN 55455

Hennepin County (612) 625-3600

DR. JEFFREY S MILLER MD

Internal Medicine (Hematology)

516 DELAWARE ST SE, SUITE 5-100, CLINIC 5B UNIVERSITY OF MINNESOTA PHYSICIA
MINNEAPOLIS, MN 55455

Hennepin County (612) 273-2800

DR. MIRNA GEORGES BOUMITRI M.D.

Internal Medicine (Nephrology)

516 DELAWARE ST SE, CLINIC 2A
MINNEAPOLIS, MN 55455

Hennepin County (612) 626-1687

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 Massimo Costalonga's NPI number?

The NPI number for Massimo Costalonga is 1649563040. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Massimo Costalonga located?

Massimo Costalonga practices at 516 Delaware St SE 7-300 Pwb, Minneapolis, MN 55455. The listed phone number is (612) 626-3233.

What is Massimo Costalonga's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Massimo Costalonga enrolled in Medicare?

Yes. Massimo Costalonga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Massimo Costalonga was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.