Active NPI
Katharine Schulz-Costello, D.O.
- Surgery Physician
- South Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20A13042
- Practice address
- 209 Fair Oaks Ave
South Pasadena, CA 91030-1814 - Phone
- (626) 396-2900
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20A13042 | CA | Primary |
Addresses
Primary practice location
209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Mailing address
PO Box 512185
Los Angeles, CA 90051-0185
Phone (626) 775-3514
Other practice location 1
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
Other practice location 2
301 W Huntington Dr
Arcadia, CA 91007-3462
Phone (626) 218-9840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@cityofhope.direct-ci.com | Direct | CITY OF HOPE MEDICAL FOUNDATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673
1500 E Duarte Rd
Duarte, CA 91010-3012
209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900
301 W Huntington Dr
Suite 400
Arcadia, CA 91007-3471
Phone (626) 218-9840
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.8 of 100
- Quality
- 78.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 34 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13042 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Surgery | Current | Accepting new patients |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients | |
| Providence Health System Southern California | Past | Accepting new patients | |
| CHHP Holdings II, LLC | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients |
Locations
301 W Huntington Dr
Ste 400
Arcadia, CA 91007
Phone (626) 218-9840
301 W Huntington Dr
Arcadia, CA 91007
Phone (626) 218-9840
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
1333 S Mayflower Ave
Fl 2
Monrovia, CA 91016
Phone (626) 775-3514
6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
Interoperability endpoints
- direct@cityofhope.direct-ci.com
- kschulzcostellodo10800@cityofhope.direct-ci.com
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Huntington Park, CA
- NPI 1891059127
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Duarte, CA
- NPI 1750358297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1154684538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512185",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510185",
"telephone_number": "626-775-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 FAIR OAKS AVE",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910301814",
"telephone_number": "626-396-2900"
}
],
"practiceLocations": [
{
"address_1": "1500 Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-256-4673",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 W Huntington Dr",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "CA",
"postal_code": "910073462",
"country_code": "US",
"telephone_number": "626-218-9840",
"fax_number": "626-218-9860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULZ-COSTELLO",
"first_name": "KATHARINE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "20A13042",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@cityofhope.direct-ci.com",
"affiliation": "Y",
"affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1500 Duarte Rd",
"city": "Duarte",
"state": "CA",
"country_code": "US",
"postal_code": "910103012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.