1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. General Practice
  6. NPI Profile

JONAH MARCEL COSTELLO
NPI 1770334336
General Practice in Dayton, OH

Active since April 01, 2024PECOS Enrolled
4881 SUGAR MAPLE DR, DAYTON, OH 45433(937) 257-9926 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Apr 18, 2026, Feb 2, 2026, Sep 3, 2025 and 2 more (5 updates tracked since 2024).

About Jonah Marcel Costello NPPES

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

JONAH MARCEL COSTELLO (NPI 1770334336) is an individual general practice provider in Dayton, Ohio, licensed in Wisconsin (82122-21) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770334336
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJONAH MARCEL COSTELLO
Location Address4881 SUGAR MAPLE DRDayton, OH 45433-5529
Mailing Address4881 Sugar Maple DrDayton, OH 45433-5529 · (937) 257-9926
Phone(937) 257-9926
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateApril 18, 20265 updates tracked since enumeration
NPPES CertifiedApril 18, 2026
✔ NPI 1770334336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WI · 82122-21
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4881 SUGAR MAPLE DR, Dayton, OH 45433
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonah Marcel Costello 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.

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.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 Jonah Costello's NPI number?

The NPI number for Jonah Costello is 1770334336. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Jonah Costello located?

Jonah Costello practices at 4881 Sugar Maple Dr, Dayton, OH 45433. The listed phone number is (937) 257-9926.

What is Jonah Costello's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jonah Costello enrolled in Medicare?

Yes. Jonah Costello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonah Costello was last updated on April 18, 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.