Stefan Costinean, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

53725 Issued in AZ

Practice address

1900 N Higley Rd
Gilbert, AZ 85234-1604

Phone

(602) 685-5211

Fax

(602) 685-5325

NPI assigned

Oct 19, 2010

Last updated

Aug 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Pathology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Specialist of Arizona, LLPGroup PAC ID 4789583188, 69 clinicians

Clin-Path PathologyGroup PAC ID 5193717866, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
• Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Merit-based Incentive Payment System (MIPS)

Final score

78.75 of 100Reported as group

Quality

75

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

78.75 of 100Reported as group

Quality

75

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clin-Path Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1922079706

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pathology Specialist of Arizona, LLP

  dba Pathology Specialist of Arizona

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
  • NPI 1174503999

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Exceptional Physicians Group Arizona PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maricopa, AZ
  • NPI 1447910229

  Single Specialty

  Medicare reassignment NPD
• Exceptional Physicians Group Bullhead City Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
  • NPI 1518732023

  Single Specialty

  Medicare reassignment NPD
• Exceptional Physicians Group Prescott Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Prescott, AZ
  • NPI 1720807670

  Single Specialty

  Medicare reassignment NPD
• Exceptional Physicians Group Yuma Hospital PLLC

  • Emergency Medicine Physician
  • Yuma, AZ
  • NPI 1235857699

  Single Specialty

  Medicare reassignment NPD
• Exceptional Health Care Bullhead City LLC

  dba Exceptional Community Hospital Bullhead City

  • Special Hospital
  • Bullhead City, AZ
  • NPI 1750092110
  NPD (past)
• Exceptional Health Care Maricopa LLC

  dba Exceptional Community Hospital Maricopa

  • Special Hospital
  • Maricopa, AZ
  • NPI 1518539048
  NPD (past)
• Exceptional Health Care Prescott LLC

  • Special Hospital
  • Prescott, AZ
  • NPI 1396452108
  NPD (past)

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

• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Banner Estrella Medical Center

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1275566200
  Care Compare affiliation
• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858
  Care Compare affiliation
• Banner Thunderbird Medical Center

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1154355188
  Care Compare affiliation

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1427368778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802210",
            "telephone_number": "623-266-7770",
            "fax_number": "623-322-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N HIGLEY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341604",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 S 56th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850342177",
            "country_code": "US",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTINEAN",
        "first_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "53725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335031",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Optical #481)
• Costco Wholesale Corporation (Costco Hearing Aid #644)
• Costco Wholesale Corporation (Costco Hearing Aid #481)
• Costco Wholesale Corporation (Costco Optical #644)
• Costco Wholesale Corporation (Costco Pharmacy #481)
• Jordan Blaine Coulston, M.D
• Courage on Purpose
• Lacey Courchaine, NMD
• Alisha Marie Courtney, FNP-C
• Stephanie Morgan Courvisier, APRN, AGNP-C

• Anatomic Pathology & Clinical Pathology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Anatomic Pathology & Clinical Pathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.