Active NPI
Louis E Costa, DO
- Surgery Physician
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C20010788
- Practice address
- 230 Beiser Blvd Ste 200
Dover, DE 19904-7792 - Phone
- (302) 505-0045
- Fax
- (888) 873-9653
- NPI assigned
- Apr 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C20010788 | DE | Primary |
Addresses
Primary practice location
230 Beiser Blvd Ste 200
Dover, DE 19904-7792
Mailing address
142 Glenda Rd
Dover, DE 19901-4922
Phone (302) 505-0045
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2-0010788 | Other | DE | MEDICAL LICENSE |
| 102197454 0003 | Medicaid | PA | |
| OS012657 | Other | PA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 S E St
Corydon, IA 50060-1860
Phone (641) 872-2063
417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260
Hospital & facility affiliations
- Wayne County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80 of 100
- Quality
- 62.88
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 75.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C20010788 | DE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne County Hospital | Surgery | Current | Accepting new patients |
| Wayne County Hospital | Current | Accepting new patients | |
| Stellar Surgical | Surgery | Current | Accepting new patients |
| Beebe Physician Network Inc. | Surgery | Current | Accepting new patients |
| Wilkes-Barre Academic Medicine LLC | Past | Accepting new patients | |
| Wayne County Hospital | Past | Accepting new patients | |
| Joseph B. Petelin, M.D., Chartered | Surgery | Past | Accepting new patients |
Locations
230 Beiser Blvd
Ste 200
Dover, DE 19904
Phone (302) 505-0045
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
417 S East St
Corydon, IA 50060
Phone (641) 872-2260
Organizations & group practices 7
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.
-
- Surgery Physician
- Dover, DE
- NPI 1467076059
-
- Community/Retail Pharmacy
- Corydon, IA
- NPI 1457902314
-
- Surgery Physician
- Shawnee Mission, KS
- NPI 1649379447
-
- Rural Health Clinic/Center
- Seymour, IA
- NPI 1780873919
-
- Family Medicine Physician
- Kingston, PA
- NPI 1669613063
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Corydon, IA
- NPI 1174599468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1679694723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 GLENDA RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199014922",
"telephone_number": "302-505-0045",
"fax_number": "888-873-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BEISER BLVD STE 200",
"city": "DOVER",
"state": "DE",
"postal_code": "199047792",
"telephone_number": "302-505-0045",
"fax_number": "888-873-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "LOUIS",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C20010788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C2-0010788",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102197454 0003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "OS012657",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.