Active NPI
James S Costlow, MD
- Internal Medicine Physician
- Monroeville, PA
National Provider Identifier
1043228059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD022329E
- Practice address
- 3824 Northern Pike
Ste 200
Monroeville, PA 15146-2141 - Phone
- (412) 380-2800
- Fax
- (412) 380-2812
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD022329E | PA | Primary |
Addresses
Primary practice location
3824 Northern Pike
Ste 200
Monroeville, PA 15146-2141
Mailing address
3824 Northern Pike
Ste 700
Monroeville, PA 15146-2141
Phone (412) 457-0060
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000750 | Other | GATEWAY HEALTH PLAN | |
| 102259 | Other | UPMC HEALTH PLAN | |
| 110079450 | Other | RAILROAD MEDICARE | |
| 4077096 | Other | AETNA | |
| 000788563 | Medicaid | PA | |
| 063157 | Other | BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamescostlow@pmapa.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD022329E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1043228059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE",
"address_2": "STE 700",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462141",
"telephone_number": "412-457-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 NORTHERN PIKE",
"address_2": "STE 200",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462141",
"telephone_number": "412-380-2800",
"fax_number": "412-380-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTLOW",
"first_name": "JAMES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD022329E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "P000750",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC HEALTH PLAN",
"identifier": "102259",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110079450",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4077096",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000788563",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "063157",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamescostlow@pmapa.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1916 Lincoln Hwy",
"city": "North Versailles",
"state": "PA",
"country_code": "US",
"postal_code": "151372706",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.