Provider Type Icon

FREDERICK M COSTELLO MD NPI 1285851337


NPI Information

NPI: 1285851337
Provider Name: FREDERICK M COSTELLO, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: ST LUKES CLINIC-TREASURE VALLEY LLC

PECOS Registration: Yes

Address:
520 S. EAGLE RD
STE 3104
MERIDIAN, ID
ZIP 83642
Phone: (208) 887-9828
Get Directions

Frederick M Costello, MD is an interventional cardiology internal medicine in Meridian, ID with 23 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Frederick M Costello, MD NPI is 1285851337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

520 S. EAGLE RD
STE 3104
MERIDIAN, ID
ZIP 83642
Phone: (208) 887-9828

The NPI 1285851337 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.

  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)

The enumeration date for this NPI number is 4/19/2007 and was last updated on 4/22/2011.


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
1207R00000XInternal Medicine200400112NORTH CAROLINANo
2207RI0011XInternal MedicineInterventional CardiologyM10231IDAHOYes

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: 11/14/2023

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.