Shauna Marie Costinett, M.D.
Individual provider Active NPI Surgery Physician · Baltimore, MD
NPI 1124433719 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1124433719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 125065618 (IL)
- Practice address
- 6565 N Charles St Ste 501
Baltimore, MD 21204-5802 - Phone
- (443) 849-3779
- Fax
- (443) 849-3767
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- University of Maryland School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Greater Baltimore Medical Center
Practice addresses (Care Compare)
3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808
6565 N Charles St
Baltimore, MD 21204-6808
6569 N Charles St
Baltimore, MD 21204-5816
6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658
6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123
6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658
6701 N Charles St
Baltamore, MD 21204-6808
6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808
6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131
Hospital & facility affiliations
- Greater Baltimore Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200730003310 | MD | Practitioner - General Surgery | 4183921380 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Current |
Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current |
Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Past | Accepting new patients |
Locations
215 Schilling Cir
Ste 110
Hunt Valley, MD 21031
Phone (410) 657-8008
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
6565 N Charles St
Ste 501
Towson, MD 21204
Phone (410) 828-8367
6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196
Interoperability endpoints
- scostinett55488@gbmcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125065618 | IL | Yes |
Addresses
Primary practice location
6565 N Charles St Ste 501
Baltimore, MD 21204-5802
Mailing address
1750 West Harrison Street
General Surgery Office
Chicago, IL 60612
Phone (312) 942-6510
Other practice location 1
215 Schilling Cir Ste 110
Hunt Valley, MD 21031-1112
Phone (410) 657-8008
Other names
- Shauna Marie Sheppard
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All providers in Baltimore, MD · Surgery Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.