Individual provider Active NPI

Louis E Costa, DO

  • Surgery Physician
  • Dover, DE
National Provider Identifier
1679694723
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C20010788 Issued in DE
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

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C2-0010788OtherDEMEDICAL LICENSE
102197454 0003MedicaidPA
OS012657OtherPAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, IA2 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

Enrollment IDStateProvider typePAC IDDetails
I20140416000671 DE Practitioner - General Surgery 1153413877 Reassigns benefits to 1 organization
Practice locations: Dover, DE
I20251204003995 IA Practitioner - General Surgery 1153413877 Reassigns benefits to 1 organization

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
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

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 Hospital, Corydon, IA, CCN 161358

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C20010788DEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital Surgery CurrentSince Oct 21, 2025 Accepting new patients
Wayne County Hospital CurrentSince Oct 21, 2025 Accepting new patients
Stellar Surgical Surgery CurrentSince May 8, 2020 Accepting new patients
Beebe Physician Network Inc. Surgery CurrentSince Jun 6, 2023 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.