Briana Teresa Costello, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

69990 Issued in TN

Practice address

1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435

Phone

(865) 546-5111

NPI assigned

May 31, 2013

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, TN2 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 2

Specialty

Interventional Cardiology

Education

Wright State University Boonshoft School of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Knoxville Heart Group, Inc.Group PAC ID 4284761917, 20 clinicians

Fort Sanders Regional Medical CenterGroup PAC ID 9537066428, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
• Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057
• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030
• Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: costello.briana@covenanthealth.cernerdirect.com

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.

• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Medicare reassignment Care Compare group NPD
• Knoxville Heart Group, Inc.

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1710218508
  Medicare reassignment Care Compare group NPD
• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Medicare reassignment NPD
• St. Luke's Diagnostic Cath Lab, LLP

  dba The Diagnostic Heart Center of St. Luke's

  • Clinic/Center
  • Houston, TX
  • NPI 1841296357
  Medicare reassignment
• Knoxville Heart Group PC

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1821087628
  NPD (past)
• East Houston Specialists PLLC

  • Cardiovascular Disease Physician
  • Houston, TX
  • NPI 1538447586
  NPD (past)

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

• Claiborne Medical Center

  • General Acute Care Hospital
  • Tazewell, TN
  • NPI 1942205166
  Care Compare affiliation
• Fort Sanders Regional Medical Center

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1942294814
  Care Compare affiliation
• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation
• Morristown Hamblen Hospital Association

  dba Morristown Hamblen Healthcare System

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation
• Parkwest Medical Center

  dba Peninsula Div Parkwest MC

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1396739165
  Care Compare affiliation

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1407293426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6624 Fannin St",
            "address_2": "Suite 2600",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302387",
            "country_code": "US",
            "telephone_number": "713-790-9401",
            "fax_number": "713-790-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "BRIANA",
        "middle_name": "TERESA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "69990",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "69990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q093025",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "costello.briana@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1819 Clinch Ave Ste 108",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cree Cosby, FNP
• Rhaven Alyson Cosby, COTA/L
• Cosmetic Dentistry of Knoxville
• Breanna Michele Costa, D.D.S.
• Michael J Costa Jr., DDS
• Connie Michell Costello
• Jason Costner
• Seaira Brianna Cota, R.N.
• Elise Cottam
• Korin G Cottam, MD

• Interventional Cardiology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.