DR. JOHN MICHAEL COSTABLE MD NPI 1043251184

NPI Information

  • NPI: 1043251184
  • Provider Name: DR. JOHN MICHAEL COSTABLE, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 NORTHERN BLVD
    STE 106
    GREAT NECK, NY
    ZIP 11021
  • Phone: (516) 466-6075

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NPI Details

DR. John Michael Costable, MD is a gastroenterology internal medicine in Great Neck, NY with 34 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. John Michael Costable, MD NPI is 1043251184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

600 NORTHERN BLVD
STE 106
GREAT NECK, NY
ZIP 11021-200
Phone: (516) 466-6075
Fax: (516) 466-6044

The NPI 1043251184 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Imaging of digestive tract done from the inside of the digestive tract (HCPCS:91110)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 6/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology198554NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
198A351MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2G76623MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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