Dominica Catherine Costello, D.O.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

220100 Issued in MA

Practice address

110 Haverhill Rd Ste 505
Amesbury, MA 01913-2150

Phone

(978) 473-3221

Fax

(833) 629-0822

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: dominica.costello.1@23285.direct.athenahealth.com
• Direct secure messaging: dominica.costello.4@23285.direct.athenahealth.com
• Direct secure messaging: dominica.costello@need.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Valley Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Newburyport, MA
  • NPI 1366712002
  NPD (past)
• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167

  Endocrinology, Diabetes & Metabolism

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1033144084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 505",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132150",
            "telephone_number": "978-473-3221",
            "fax_number": "833-629-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 505",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132150",
            "telephone_number": "978-473-3221",
            "fax_number": "833-629-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "DOMINICA",
        "middle_name": "CATHERINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NH",
            "license": "13107",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "220100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30224598",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432470999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A Corbin, PT
• Jenna Boyle Corneille, MSW, LICSW
• Olivia Cornell
• Nicole Marie Costa, OTD, OTR
• Christopher Richard Costello, LICSW
• Lorraine Cote
• April J Cotugno
• Barbara Courtney
• Laurie A Couture, LMHC
• Creative Bridges, LLC

• Endocrinology, Diabetes & Metabolism Physician in Amesbury, MA
• Providers in Amesbury, MA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.