Individual provider Active NPI

Donald Joseph Costic, M.D.

  • Hospitalist Physician
  • Morganton, NC
National Provider Identifier
1689906737
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35.095554 Issued in OH
Practice address
350 E Parker Rd
Suite 102
Morganton, NC 28655-5155
Phone
(828) 580-2700
Fax
(828) 432-9833
NPI assigned
Jan 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.095554 OH Primary
Internal Medicine Physician 207R00000X 35-095554 OH

Addresses

Primary practice location

350 E Parker Rd
Suite 102
Morganton, NC 28655-5155

Mailing address

PO Box 601076
Charlotte, NC 28260-1076
Phone (828) 580-6752

Other identifiers 1

IdentifierTypeStateIssuer
3077147MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20130814000643 NC Practitioner - Internal Medicine 3375677842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Frye Hospitalists LLCGroup PAC ID 1951702539, 46 clinicians

Practice addresses (Care Compare)

420 N Ctr St
Hickory, NC 28601-5033
Phone (828) 879-8419

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-095554OHMDInternal Medicine Physician
35.095554OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Hospitalists LLC Hospitalist CurrentSince Jul 12, 2021 Accepting new patients

Locations

420 N Center St
Hickory, NC 28601
Phone (704) 660-4055

Organizations & group practices 1

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 2

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": "1264809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1689906737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601076",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601076",
            "telephone_number": "828-580-6752",
            "fax_number": "828-580-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E PARKER RD",
            "address_2": "SUITE 102",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555155",
            "telephone_number": "828-580-2700",
            "fax_number": "828-432-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIC",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-30",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.095554",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-095554",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.