Mark E Costaldi, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

261809 Issued in NY

Practice address

736 Irving Ave
Pathology, #9227
Syracuse, NY 13210-1687

Phone

(315) 470-7396

NPI assigned

Jan 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Pathology

Education

St. Louis College of Physicians and Surgeons, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Associates of Syracuse PCGroup PAC ID 3173516804, 5 clinicians

Syracuse Gastroenterological Associates.PCGroup PAC ID 6305814716, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crouse Hospital Hospital, Syracuse, NY, CCN 330203
• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score

98.09 of 100Reported as group

Quality

97.07

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pathology Associates of Syracuse, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Syracuse, NY
  • NPI 1629061791
  Medicare reassignment Care Compare group NPD
• Syracuse Gastroenterological Associates.PC

  • Gastroenterology Physician
  • East Syracuse, NY
  • NPI 1619947843
  Medicare reassignment Care Compare group NPD
• Syracuse Gastroenterological Associates PC

  • Anesthesiology Physician
  • East Syracuse, NY
  • NPI 1417326661
  NPD
• Cytology Associates of Cny PLLC

  • Cytopathology Physician
  • Syracuse, NY
  • NPI 1629231204
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  Care Compare affiliation
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1770769564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "address_2": "PATHOLOGY, #9227",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "address_2": "PATHOLOGY, #9227",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTALDI",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.093703",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "261809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Maria Cosco, RD
• Kelly Cosgrove, RN
• Maureen Costa, REGISTERED NURSE
• Meghan Ryan Costa, P.A.
• Nicole Marie Costa, LCSW
• Michael J Costanza, MD
• Emily Jeanne Costello
• Sharon Walsh Costello
• Jessica Maria Costosa-Umina, PH D
• John Robert Cote, MD

• Anatomic Pathology & Clinical Pathology Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.

Verify at the official NPI Registry.