Individual provider Active NPI

Maria Rosa Costanzo, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Naperville, IL
National Provider Identifier
1073564860
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
036.060354 Issued in IL
Practice address
801 S Washington St FL 4
Naperville, IL 60540-7430
Phone
(630) 600-0700
Fax
(630) 600-0701
NPI assigned
May 15, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036.060354 IL
Cardiovascular Disease Physician 207RC0000X 036060354 IL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 036060354 IL
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 036.060354 IL Primary

Addresses

Primary practice location

801 S Washington St FL 4
Naperville, IL 60540-7430

Mailing address

801 S Washington St FL 4
Naperville, IL 60540-7430
Phone (630) 600-0700

Other names 1

  • Maria Rosa Costanzo Nordin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110124000471 IL Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8325227333 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.060354ILMDCardiovascular Disease Physician
036060354ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Cardiovascular Institute SC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Edward Hospital CurrentSince Jun 30, 2001 Accepting new patients
Edward Hospital Cardiovascular Disease CurrentSince Jun 30, 2001 Accepting new patients
Midwest Heart Specialists, LTD Cardiovascular Disease Past Accepting new patients
Edward Cardiovascular Institute Cardiovascular Disease Past Accepting new patients
Edward Cardiovascular Institute Cardiovascular Disease Past Accepting new patients

Locations

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

1 E County Line Rd
Sandwich, IL 60548
Phone (815) 786-2722

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1073564860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON ST FL 4",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407430",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WASHINGTON ST FL 4",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407430",
            "telephone_number": "630-600-0700",
            "fax_number": "630-600-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANZO",
        "first_name": "MARIA ROSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.060354",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036060354",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IL",
            "license": "036060354",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "IL",
            "license": "036.060354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ROSA",
            "last_name": "COSTANZO NORDIN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.