Active NPI
Ralph M Costanzo, M.D.
- Orthopaedic Hand Surgery Physician
- Billings, MT
National Provider Identifier
1073549093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 10383
- Practice address
- 2900 12TH Ave N
#100E
Billings, MT 59101-7506 - Phone
- (406) 238-6700
- Fax
- (406) 238-6734
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 10383 | MT | Primary |
Addresses
Primary practice location
2900 12TH Ave N
#100E
Billings, MT 59101-7506
Mailing address
2900 12TH Ave N Ste 100E
Billings, MT 59101-7504
Phone (406) 652-5261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065559 | Medicaid | MT |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Hand Center, PLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Interoperability endpoints
- ralph.costanzo@1146.chartlogic.direct-ci.com
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Surgery of the Hand (Surgery) Physician
- Grand Rapids, MI
- NPI 1386690436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200873600000",
"number": "1073549093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 12TH AVE N STE 100E",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017504",
"telephone_number": "406-652-5261",
"fax_number": "406-238-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 12TH AVE N",
"address_2": "#100E",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017506",
"telephone_number": "406-238-6700",
"fax_number": "406-238-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANZO",
"first_name": "RALPH",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2008-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MT",
"license": "10383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0065559",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.