Individual provider Active NPI

Michael R Costello, MD

  • Hematology & Oncology Physician
  • West Chester, PA
National Provider Identifier
1366645111
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD431871 Issued in PA
Practice address
440 E Marshall St
Suite 201
West Chester, PA 19380-5414
Phone
(610) 738-2500
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD431871 PA Primary

Addresses

Primary practice location

440 E Marshall St
Suite 201
West Chester, PA 19380-5414

Mailing address

440 E Marshall St
Suite 201
West Chester, PA 19380-5414
Phone (610) 738-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071005000139 PA Practitioner - Hematology/Oncology 7214022276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Pennsylvania State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

230 W Washington SQ Farm Journal BLDG
Hemo Onc Pah
Philadelphia, PA 19106-3500
Phone (215) 829-6088

Hospital & facility affiliations

  • Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chester County Hospital CurrentSince Jul 1, 2011 Accepting new patients
Chester County Hospital CurrentSince Jul 1, 2011 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 28, 2015 Accepting new patients
University of Penn-Medical Group Hematology & Oncology CurrentSince Sep 28, 2015 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Cogent Healthcare of Pennsylvania, Inc. Past Accepting new patients

Locations

720 W Lincoln Hwy
Ste 720
Exton, PA 19341
Phone (610) 269-8415

400 McFarlan Rd
Ste 300
Kennett Square, PA 19348
Phone (610) 925-4864

230 W Washington Sq
Bldg 2ND
Philadelphia, PA 19106
Phone (215) 829-6088

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

440 E Marshall St
Ste 201
West Chester, PA 19380
Phone (610) 738-2500

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

440 E Marshall St
Ste 101
West Chester, PA 19380
Phone (610) 738-2500

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1366645111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E MARSHALL ST",
            "address_2": "SUITE 201",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805414",
            "telephone_number": "610-738-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E MARSHALL ST",
            "address_2": "SUITE 201",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193805414",
            "telephone_number": "610-738-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD431871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.