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DR. THEODORE GERARD COSTICH M.D. NPI 1245331818


NPI Information

NPI: 1245331818
Provider Name: DR. THEODORE GERARD COSTICH, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
41 MAPLE RD
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 631-1045
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DR. Theodore Gerard Costich, M.D. is an obstetrics gynecology in Williamsville, NY with 37 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Theodore Gerard Costich, M.D. NPI is 1245331818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

41 MAPLE RD
WILLIAMSVILLE, NY
ZIP 14221-918
Phone: (716) 631-1045
Fax: (716) 631-1365

The NPI 1245331818 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.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/4/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology187420NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110109001OTHERNEW YORKFIDELIS PROVIDER #
201406720MEDICAIDNEW YORK
3BB4991MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICOMEDICARE PROVIDER NUMBER
4F04493MEDICARE UPINNEW YORK
50709667OTHERNEW YORKINDEPENDENT HEALTH PROVID
600020006503OTHERNEW YORKUNIVERA HEALTHCARE PROVID
7005250881OTHERNEW YORKBC/BS OFWNY PROVIDER #

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.