NPIMap

Individual provider Active NPI

William Nunes Costa, LSA, SA-C

  • Surgical Assistant
  • Gaithersburg, MD
National Provider Identifier
1235919903
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA2000032 Issued in DC
Practice address
903 Hillside Lake Ter Apt 605
Gaithersburg, MD 20878-5242
Phone
(443) 910-0033
NPI assigned
Oct 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA2000032 DC Primary

Addresses

Primary practice location

903 Hillside Lake Ter Apt 605
Gaithersburg, MD 20878-5242

Mailing address

903 Hillside Lake Ter Apt 605
Gaithersburg, MD 20878-5242
Phone (443) 910-0033

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA2000032DCMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Surgical Assistants LLC Surgical Assistant CurrentSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1235919903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 HILLSIDE LAKE TER APT 605",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785242",
            "telephone_number": "443-910-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 HILLSIDE LAKE TER APT 605",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785242",
            "telephone_number": "443-910-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "WILLIAM",
        "middle_name": "NUNES",
        "credential": "LSA, SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "DC",
            "license": "SA2000032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.