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MARY MARCELLE COSTANTINO MD NPI 1407951171


NPI Information

NPI: 1407951171
Provider Name: MARY MARCELLE COSTANTINO, MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
6958 SW VARNS ST
PORTLAND, OR
ZIP 97223
Phone: (503) 683-7730
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Mary Marcelle Costantino, MD is a vascular and interventional radiology radiology in Portland, OR with 23 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Mary Marcelle Costantino, MD NPI is 1407951171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

6958 SW VARNS ST
PORTLAND, OR
ZIP 97223-000
Phone: (503) 683-7730
Fax: (503) 914-0927

The NPI 1407951171 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.

  • Moderate sedation services by physician also performing a procedure, additional 15 minutes (HCPCS:99153)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 9/14/2006 and was last updated on 1/26/2022.


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
12085R0202XRadiologyDiagnostic RadiologyMD26429OREGONNo
22085R0204XRadiologyVascular & Interventional RadiologyMD26429OREGONYes

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.