Individual provider Active NPI

Anna Costeloe, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • National Harbor, MD
National Provider Identifier
1043748072
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
20A19296 Issued in CA
Practice address
120 Waterfront St Ste 400
National Harbor, MD 20745-1142
Phone
(301) 567-6767
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X 20A19296 CA Primary

Addresses

Primary practice location

120 Waterfront St Ste 400
National Harbor, MD 20745-1142

Mailing address

120 Waterfront St Ste 400
National Harbor, MD 20745-1142
Phone (301) 567-6767

Other names 1

  • Anya Costeloe Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230814002264 TX Practitioner - Otolaryngology 2860885431 Reassigns benefits to 1 organization
I20260304002959 OH Practitioner - Otolaryngology 2860885431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-8019

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A19296CAMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium Single Specialty CurrentSince Jul 31, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jan 24, 2026 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Single Specialty CurrentSince Jan 24, 2026 Accepting new patients
Bella Plastic Surgery, LLC Single Specialty PastSince Sep 3, 2011 Accepting new patients
Harbor Surgery Center LLC Past Accepting new patients

Locations

3801 University Lake Dr
Anchorage, AK 99508
Phone (907) 563-8876

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1043748072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WATERFRONT ST STE 400",
            "city": "NATIONAL HARBOR",
            "state": "MD",
            "postal_code": "207451142",
            "telephone_number": "301-567-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WATERFRONT ST STE 400",
            "city": "NATIONAL HARBOR",
            "state": "MD",
            "postal_code": "207451142",
            "telephone_number": "301-567-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELOE",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "20A19296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANYA",
            "last_name": "COSTELOE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in National Harbor, MD

Sources for this page

Verify at the official NPI Registry.