Active NPI
Victor Manuel Da Costa, M.D.
- Pediatric Otolaryngology Physician
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- MD456676
- Practice address
- 1430 Harrisburg Pike
Lancaster, PA 17601-2615 - Phone
- (800) 243-1455
- Fax
- (717) 606-1124
- NPI assigned
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | D75944 | MD | |
| Pediatric Otolaryngology Physician | 207YP0228X | MD456676 | PA | Primary |
Addresses
Primary practice location
1430 Harrisburg Pike
Lancaster, PA 17601-2615
Mailing address
16 S Eutaw St
Suite 500
Baltimore, MD 21201-1606
Phone (410) 328-3197
Other practice location 1
16 S Eutaw St
Suite 500
Baltimore, MD 21201-1606
Phone (410) 328-3197
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Un of California, Irvine, College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-5638
Hospital & facility affiliations
- Milton S Hershey Medical Center
- Penn State Health Lancaster Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D75944 | MD | MD | Pediatric Otolaryngology Physician |
| MD456676 | PA | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Pediatric Otolaryngology | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| Otolaryngology Physicians of Lancaster, LTD. | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Past | Accepting new patients |
Locations
500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
1430 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 327-4680
810 Plaza Blvd
Lancaster, PA 17601
Phone (717) 394-5088
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73431
- victor.dacosta@theentcenter.directbygreenway.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Otolaryngology Physician
- Lancaster, PA
- NPI 1134200181
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Otolaryngology Physician
- Hershey, PA
- NPI 1205801933
Pediatric Otolaryngology
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Hershey, PA
- NPI 1255482089
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1013674266
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1447426432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 S EUTAW ST",
"address_2": "SUITE 500",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011606",
"telephone_number": "410-328-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 HARRISBURG PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176012615",
"telephone_number": "800-243-1455",
"fax_number": "717-606-1124"
}
],
"practiceLocations": [
{
"address_1": "16 S Eutaw St",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011606",
"country_code": "US",
"telephone_number": "410-328-3197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DA COSTA",
"first_name": "VICTOR",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-30",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "MD",
"license": "D75944",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "PA",
"license": "MD456676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.