Individual provider Active NPI

Joanna Michele Costello, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1295707867
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD041701E Issued in PA
Practice address
200 Lothrop St
Room 3950 CHP CMT
Pittsburgh, PA 15213-2546
Phone
(412) 647-3553
NPI assigned
Feb 7, 2006
Last updated
Mar 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD041701E PA
Body Imaging Physician 2085B0100X MD041701E PA
Diagnostic Radiology Physician 2085R0202X MD041701E PA Primary

Addresses

Primary practice location

200 Lothrop St
Room 3950 CHP CMT
Pittsburgh, PA 15213-2546

Mailing address

200 Lothrop St
Room 3950 CHP CMT
Pittsburgh, PA 15213-2546
Phone (412) 647-3553

Other identifiers 1

IdentifierTypeStateIssuer
001209549MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101104000405 PA Practitioner - Diagnostic Radiology 8325232267 Reassigns benefits to 2 organizations
I20190905000301 TN Practitioner - Diagnostic Radiology 8325232267 Reassigns benefits to 1 organization
I20191112002376 MS Practitioner - Diagnostic Radiology 8325232267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Pennsylvania, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Specialists PLLCGroup PAC ID 0143218560, 39 clinicians

Practice addresses (Care Compare)

3688 Veterans Memorial Dr
Suite 200
Hattiesburg, MS 39401-8246
Phone (601) 554-7400

750 Old Hickory Blvd
Suite 1 260
Brentwood, TN 37027-4528
Phone (615) 376-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041701EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Sep 16, 2012 Accepting new patients
University of Pittsburgh Physicians Body Imaging CurrentSince Jun 1, 2003 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Southern Bone & Joint Specialists, PA CurrentSince Sep 1, 2019 Accepting new patients
Southern Bone & Joint Specialists CurrentSince Sep 1, 2019 Accepting new patients

Locations

1215 Highway 98 Byp
Columbia, MS 39429
Phone (601) 268-5070

3688 Veterans Memorial Dr
Ste 200
Hattiesburg, MS 39401
Phone (601) 554-7451

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
Rm 3950
Pittsburgh, PA 15213
Phone (412) 647-3510

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1295707867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "ROOM 3950 CHP CMT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132546",
            "telephone_number": "412-647-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "ROOM 3950 CHP CMT",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132546",
            "telephone_number": "412-647-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JOANNA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD041701E",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PA",
            "license": "MD041701E",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD041701E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001209549",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.