Individual provider Active NPI

Geoffrey B Kostiner, M.D.

  • Urology Physician
  • Newport News, VA
National Provider Identifier
1235123530
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0101056471 Issued in VA
Practice address
860 Omni Blvd
Suite # 205
Newport News, VA 23606-4237
Phone
(757) 873-2562
Fax
(757) 873-2570
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101056471 VA Primary

Addresses

Primary practice location

860 Omni Blvd
Suite # 205
Newport News, VA 23606-4237

Mailing address

860 Omni Blvd Ste 128
Newport News, VA 23606-4430
Phone (757) 232-8769

Other identifiers 3

IdentifierTypeStateIssuer
340014547OtherRR/MEDICARE
174990OtherVAANTHEM
010131561MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050311000317 VA Practitioner - Urology 2163476185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6877

2542 Langhorne Rd
Lynchburg, VA 24501-1602
Phone (434) 947-5297

408 16TH St
West Point, VA 23181-9577
Phone (804) 843-3131

4125 Ironbound Rd
Suite 200
Williamsburg, VA 23188-2666
Phone (757) 345-2829

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

  • Enhabit Home Health (VA Beach) Home health agency, Virginia Beach, VA, CCN 497644
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection29
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101056471VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC Urology CurrentSince Feb 1, 2005 Accepting new patients
Centra Medical Group, LLC CurrentSince Jul 14, 2023 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Feb 1, 2005 Accepting new patients
Titusville Area Health Services, Inc. Urology Past Accepting new patients

Locations

2542 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 200-5297

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

860 Omni Blvd
Ste 205
Newport News, VA 23606
Phone (757) 873-2562

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

827 Diligence Dr
Ste 100
Newport News, VA 23606

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

860 Omni Blvd
Ste 128
Newport News, VA 23606

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1235123530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 128",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD",
            "address_2": "SUITE # 205",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064237",
            "telephone_number": "757-873-2562",
            "fax_number": "757-873-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTINER",
        "first_name": "GEOFFREY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101056471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "340014547",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "174990",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010131561",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.