John J. Costa, M.D.
Individual provider Active NPI Allergy & Immunology Physician · Buzzards Bay, MA
NPI 1285633362 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1285633362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 00000 (MA)
- Practice address
- 33 Cohasset Ave
Unit #2
Buzzards Bay, MA 02532-3270 - Phone
- (508) 759-7555
- Fax
- (508) 759-7355
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Icahn School of Medicine at Mount Sinai, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mass General Brigham Medical Group Suburban Massachusetts Inc
Harbor Medical Associates Inc
Brigham and Womens Physicians Organization Inc
Practice addresses (Care Compare)
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
40 Tremont St
Duxbury, MA 02332-5304
Phone (781) 934-6200
56 New Driftway
Scituate, MA 02066-4533
Phone (781) 545-7243
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Hospital & facility affiliations
- Brigham and Women'S Hospital
- Beth Israel Deaconess Hospital Plymouth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20050527000072 | MA | Practitioner - Allergy/Immunology | 6305888587 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current |
Accepting new patients | |
| Harbor Medical Associates, Inc. | Current |
Accepting new patients | |
| Harbor Medical Associates, Inc. | Current |
Accepting new patients | |
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| Coastal Medical Associates | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
33 Cohasset Ave
Ste 2
Buzzards Bay, MA 02532
Phone (508) 295-5572
850 Boylston St
Chestnut Hill, MA 02467
Phone (617) 732-5773
850 Boylston St
Ste 540
Chestnut Hill, MA 02467
Phone (617) 278-0300
850 Boylston St
Ste 530
Chestnut Hill, MA 02467
Phone (617) 278-0500
40 Tremont St
Ste 52
Duxbury, MA 02332
Phone (781) 934-6200
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
15 Corporate Park Dr
Pembroke, MA 02359
Phone (781) 826-8065
56 New Driftway
Scituate, MA 02066
Phone (781) 544-3434
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200
Interoperability endpoints
- costa.john.bwh@direct.partners.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 00000 | MA | Yes |
Addresses
Primary practice location
33 Cohasset Ave
Unit #2
Buzzards Bay, MA 02532-3270
Mailing address
33 Cohasset Ave
Unit #2
Buzzards Bay, MA 02532-3270
Phone (508) 759-7555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013922 | Other | NHP | |
| 39485 | Other | FALLON | |
| 056754 | Other | TUFTS HEALTH CARE | |
| 1243 | Other | HARVARD PILGRIM | |
| J13636 | Other | MEDICARE | |
| J13636 | Other | BCBSMA | |
| 056754 | Other | TUFTS MEDICARE PREFERRED | |
| 3118258 | Medicaid | MA | |
| B20273502 | Other | CIGNA |
Other providers in Buzzards Bay, MA
- Joshua Cole
- Commonwealth of Massachusetts
- Joleen Teresa Connolly
- Denise A Connors
- Shaun Correia
- Dale-Ann Cotter
- Aidan Crone
- Patrick Davin
- Stephen Douglas Defranc
- Melissa Dickison
All providers in Buzzards Bay, MA · Allergy & Immunology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2015. 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.