KYLE COSTENBADER
NPI 1699302661
Radiology - Diagnostic Radiology in Houston, TX
About Kyle Costenbader NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE COSTENBADER (NPI 1699302661) is an individual diagnostic radiology provider in Houston, Texas, licensed in Pennsylvania (MD493781) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 8 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 8
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle Costenbader is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kyle Costenbader reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
Mercersburg, PA 17236
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan York Hospital
Acute Care Hospitals · York, PAGettysburg Hospital
Acute Care Hospitals · Gettysburg, PAWellspan Good Samaritan Hospital
Acute Care Hospitals · Lebanon, PAWellspan Ephrata Community Hospital
Acute Care Hospitals · Ephrata, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Kyle Costenbader's NPI number?
The NPI number for Kyle Costenbader is 1699302661. It was assigned to this individual provider in the NPPES registry on March 26, 2020.
Where is Kyle Costenbader located?
Kyle Costenbader practices at 6701 Fannin St Ste 470, Houston, TX 77030. The listed phone number is (631) 219-6531.
What is Kyle Costenbader's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kyle Costenbader enrolled in Medicare?
Yes. Kyle Costenbader is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kyle Costenbader's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Costenbader reassigns Medicare benefits to 2 organizations: Texas Children's Physician Group (Houston, TX) and Wellspan Medical Group (Mercersburg, PA). Each 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 Kyle Costenbader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kyle Costenbader affiliated with any hospitals?
According to CMS data, Kyle Costenbader is affiliated with Wellspan York Hospital, Gettysburg Hospital, Wellspan Good Samaritan Hospital and Wellspan Ephrata Community Hospital.
When was this NPI record last updated?
The NPPES record for Kyle Costenbader was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kyle Costenbader · NPI 1699302661
Diagnostic Radiology physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1699302661 (Entity type: Individual)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** MD493781 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 6701 FANNIN ST STE 470, Houston, TX 77030-2608
- **Phone:** (631) 219-6531
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Texas Children's Physician Group (NPI 1861675506, Houston, TX); Wellspan Medical Group (NPI 1407568298, Mercersburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1699302661) · Data from the CMS NPPES public registry.