MRS. LETY ELIZABETH COSTA MD
NPI 1821188269
Internal Medicine in Dos Palos, CA

Active since October 14, 2006PECOS Enrolled
1405 CALIFORNIA AVE, DOS PALOS, CA 93620(209) 722-4842 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, Aug 14, 2022, Aug 5, 2022 and 3 more (6 updates tracked since 2018).

About Mrs. Lety Elizabeth Costa Md NPPES

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

MRS. LETY ELIZABETH COSTA MD (NPI 1821188269) is an individual internal medicine provider in Dos Palos, California, licensed in California (A187054) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gordon.

NPPES Registry Identity

NPI1821188269
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. LETY ELIZABETH COSTACredential: MD
Location Address1405 CALIFORNIA AVEDos Palos, CA 93620-2300
Mailing Address749 Eggleston AveDos Palos, CA 93620-9564 · (208) 282-0196 · Fax (855) 202-9336
Sole ProprietorNo
Enumeration DateOctober 14, 2006
Last NPPES UpdateAugust 1, 20256 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
NPI 1821188269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A187054
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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License ME158393 (FL)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA17517 (CA), 680 (NE)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 110879 (NE)
1405 CALIFORNIA AVE, Dos Palos, CA 93620

Other Names 1

Former Name (1)Lety Elizabeth Amaya

Secondary Practice Location 1

Location 1807 North AshGordon, NE 69343-1132 · Phone (308) 282-2200 · Fax (308) 282-1428

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Lety Elizabeth Costa Md 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 93620 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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 8

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

Nurse Practitioner (Family)
1405 CALIFORNIA AVE
DOS PALOS, CA 93620
Nurse Practitioner (Family)
1405 CALIFORNIA AVE
DOS PALOS, CA 93620
Physician Assistant (Medical)
1405 CALIFORNIA AVE
DOS PALOS, CA 93620
Clinic/Center (Federally Qualified Health Center (FQHC))
1405 CALIFORNIA AVE
DOS PALOS, CA 93620
Clinic/Center (Federally Qualified Health Center (FQHC))
1405 CALIFORNIA AVE
DOS PALOS, CA 93620
Physician Assistant (Medical)
1405 CALIFORNIA AVE
DOS PALOS, CA 93620
Internal Medicine
1405 CALIFORNIA AVE
DOS PALOS, CA 93620
Nurse Practitioner (Family)
1405 CALIFORNIA AVE
DOS PALOS, CA 93620

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 Lety Costa's NPI number?

The NPI number for Lety Costa is 1821188269. It was assigned to this individual provider in the NPPES registry on October 14, 2006. The provider is also known as Lety Elizabeth Amaya.

Where is Lety Costa located?

Lety Costa practices at 1405 California Ave, Dos Palos, CA 93620. The listed phone number is (209) 722-4842.

What is Lety Costa's specialty?

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

Is Lety Costa enrolled in Medicare?

Yes. Lety Costa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lety Costa was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.