KYLE COSTENBADER
NPI 1699302661
Radiology - Diagnostic Radiology in Houston, TX

Q: 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.

Q: What is Kyle Costenbader's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: 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 4 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.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

6701 FANNIN ST STE 470, HOUSTON, TX 77030(631) 219-6531 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 24, 2026, Apr 1, 2026, Mar 26, 2020 (3 updates tracked since 2020).

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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 Gettysburg Hospital, and is a graduate of George Washington University School Of Medicine (2020).

NPPES Registry Identity

NPI1699302661

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameKYLE COSTENBADER

Location Address6701 FANNIN ST STE 470Houston, TX 77030-2608

Mailing Address6701 Fannin St Ste 470Houston, TX 77030-2608 · (832) 824-7237

Phone(631) 219-6531

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateApril 24, 20263 updates tracked since enumeration

NPPES CertifiedApril 24, 2026

✔ NPI 1699302661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in PA · MD493781

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License W5302 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6701 FANNIN ST STE 470, Houston, TX 77030

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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 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.

PECOS PAC ID4284063363

PECOS Enrollment IDI20260414001186

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390065

Location147 Gettys StreetGettysburg, PA 17325 · Adams County

Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390225

Location169 Martin AvenueEphrata, PA 17522 · Lancaster County

Emergency services Birthing friendly

Physician 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.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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 12

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

KHUSHBU H PATEL MD

Radiology (Pediatric Radiology)