Individual provider Active NPI

Constantino Costarangos, M.D.

  • Pulmonary Disease Physician
  • Miami, FL
National Provider Identifier
1730165200
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0058088 Issued in FL
Practice address
10251 SW 72ND St
Suite A101
Miami, FL 33173-2957
Phone
(305) 274-9205
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0058088 FL Primary

Addresses

Primary practice location

10251 SW 72ND St
Suite A101
Miami, FL 33173-2957

Mailing address

10251 SW 72ND St
Suite A101
Miami, FL 33173-2957
Phone (305) 274-9205

Other identifiers 1

IdentifierTypeStateIssuer
051560400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041221000267 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9335106251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10251 SW 72ND St
Miami, FL 33173-2957
Phone (305) 274-9205

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0058088FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Constantino Costarangos M.D., P.a. Pulmonary Disease CurrentSince Jan 13, 2018 Accepting new patients

Locations

7100 W 20th Ave
Ste 616
Hialeah, FL 33016
Phone (305) 435-4465

10251 SW 72nd St
Ste 101
Miami, FL 33173
Phone (305) 274-9205

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

10251 SW 72nd St
Ste A101
Miami, FL 33173
Phone (305) 274-9205

10251 SW 72nd St
#A101
Miami, FL 33173
Phone (305) 274-9205

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, 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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1730165200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST",
            "address_2": "SUITE A101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-274-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST",
            "address_2": "SUITE A101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-274-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTARANGOS",
        "first_name": "CONSTANTINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0058088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051560400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.