Individual provider Active NPI

Timothy Costales, MD

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1497118756
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD477449 Issued in PA
Practice address
3737 Market St
Philadelphia, PA 19104-5545
Phone
(240) 753-4797
NPI assigned
Apr 3, 2016
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 286671 MA
Orthopaedic Surgery Physician 207X00000X MD477449 PA Primary

Addresses

Primary practice location

3737 Market St
Philadelphia, PA 19104-5545

Mailing address

3 Citrus Grove CT
North Potomac, MD 20878-4918
Phone (240) 753-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, VA, DC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20220801000895 PA Practitioner - Orthopedic Surgery 7517252760 Reassigns benefits to 1 organization
I20221027002211 NJ Practitioner - Orthopedic Surgery 7517252760 Reassigns benefits to 1 organization
I20251015004864 VA Practitioner - Orthopedic Surgery 7517252760 Reassigns benefits to 1 organization
I20251016000701 DC Practitioner - Orthopedic Surgery 7517252760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Maryland School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Woodbridge, VA 22191-3337
Phone (703) 620-3211

2501 Parkers LN
Alexandria, VA 22306-3209

3299 Woodburn Rd
Annandale, VA 22003-7326
Phone (703) 205-2626

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

6355 Walker LN
Alexandria, VA 22310-3251

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Clinical Health Care Associates of New Jersey, PC Orthopaedic Surgery CurrentSince Oct 10, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Orthopaedic Surgery CurrentSince Oct 10, 2022 Accepting new patients
Inova Health Care Services CurrentSince Sep 15, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 15, 2022 Accepting new patients
Inova Health Care Services CurrentSince Sep 15, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 15, 2022 Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients

Locations

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

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

3737 Market St
Philadelphia, PA 19104
Phone (215) 294-9393

3737 Market St
#8
Philadelphia, PA 19104

3737 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-4333

PO B0x 824320
Philadelphia, PA 19182

6355 Walker Ln
Ste 202
Alexandria, VA 22310
Phone (703) 810-5210

3299 Woodburn Rd
Ste 370
Annandale, VA 22003
Phone (703) 573-2066

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211

Interoperability endpoints

  • Direct secure messaging: tcostales1457441@soc.inova.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1497118756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CITRUS GROVE CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208784918",
            "telephone_number": "240-753-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARKET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045545",
            "telephone_number": "240-753-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTALES",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-03",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "286671",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD477449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.