NPIMap

Individual provider Active NPI

Anthony Michael Costrini

  • Pulmonary Disease Physician
  • Savannah, GA
National Provider Identifier
1194743971
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
014476 Issued in GA
Practice address
55 Islanders Retreat
Savannah, GA 31411-2941
Phone
(912) 429-6054
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 014476 GA
Pulmonary Disease Physician 207RP1001X 014476 GA Primary

Addresses

Primary practice location

55 Islanders Retreat
Savannah, GA 31411-2941

Mailing address

55 Islanders Retreat
Savannah, GA 31411-2941
Phone (912) 429-6054

Other identifiers 3

IdentifierTypeStateIssuer
C196265OtherGASOUTH CAROLINA MEDICAID
000148519LMedicaidGA
409112018OtherGARAILROAD MEDICARE

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

State licenses

LicenseStateTypeSpecialty
011476GAMDGeneral Practice Dentistry
014476GAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nations Sleep Disorders Center LLC Past Accepting new patients
Costrini Sleep Services, Inc. Past Accepting new patients
Costrini and Meadows PC Pulmonary Disease Past Accepting new patients
Costrini & Meadows, PC Pulmonary Disease PastSince May 5, 2008 Accepting new patients
Costrini Sleep Services, Inc. Past Accepting new patients
Heart of Georgia Sleep Medicine, LLC PastSince May 1, 2009 Accepting new patients
Randall Crum Inc. PastSince Apr 30, 2003 Accepting new patients
Med R US Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anthony.costrini@gadirect.net
  • Direct secure messaging: anthonycostrini@arms.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1194743971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ISLANDERS RETREAT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112941",
            "telephone_number": "912-429-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ISLANDERS RETREAT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112941",
            "telephone_number": "912-429-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTRINI",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "014476",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "014476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAID",
            "identifier": "C196265",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000148519L",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "409112018",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.