Individual provider Active NPI

Gi-Ann Abdon Acosta, MD

  • Vascular Surgery Physician
  • Camp Springs, MD
National Provider Identifier
1104453471
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0107561 Issued in MD
Practice address
5801 Allentown Rd Ste 502
Camp Springs, MD 20746-4653
Phone
(240) 427-1630
Fax
(240) 439-8285
NPI assigned
Mar 25, 2020
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D0107561 MD Primary

Addresses

Primary practice location

5801 Allentown Rd Ste 502
Camp Springs, MD 20746-4653

Mailing address

5801 Allentown Rd Ste 502
Camp Springs, MD 20746-4653
Phone (240) 427-1630

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
I20260407002301 IL Order and Referring Only - Vascular SurgeryPractitioner - Vascular Surgery 4587094925

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.079917ILMDVascular Surgery Physician

Interoperability endpoints

  • Direct secure messaging: gacostamd349822@carlehiedirect.net

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1104453471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 502",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464653",
            "telephone_number": "240-427-1630",
            "fax_number": "240-439-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 502",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464653",
            "telephone_number": "240-427-1630",
            "fax_number": "240-439-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "GI-ANN",
        "middle_name": "ABDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0107561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

Verify at the official NPI Registry.