Dena Grace Costa, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35121483 Issued in OH

Practice address

6939 Cox Rd Ste 350
Liberty Township, OH 45069

Phone

(513) 564-1600

Fax

(513) 564-1624

NPI assigned

Jun 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Dena Grace Caralis Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Obstetrics/Gynecology

Education

Washington University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christ Hospital Medical Specialists LLCGroup PAC ID 6507998432, 127 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christ Hospital Hospital, Cincinnati, OH, CCN 360163

Merit-based Incentive Payment System (MIPS)

Final score

90.21 of 100Reported as group

Quality

88

Promoting interoperability

100

Improvement activities

40

Cost

79.36

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.

• Christ Hospital Medical Specialists LLC

  • Urology Physician
  • Cincinnati, OH
  • NPI 1124341649

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Christ Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1780633289
  NPD (past)

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

• Christ Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1780633289
  Care Compare affiliation

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1801024310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 COX RD STE 350",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450697595",
            "telephone_number": "513-564-1600",
            "fax_number": "513-564-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 COX RD STE 350",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-564-1600",
            "fax_number": "513-564-1624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Pentagon Blvd",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "937-429-7350",
            "fax_number": "937-431-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTA",
        "first_name": "DENA",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35121483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086859",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcosta100669@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6939 Cox Rd Ste 350",
            "city": "Liberty Township",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "CARALIS",
            "middle_name": "GRACE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Combs Family Eyecare LLC
• Alicia M Combs, O.D.
• Sherry J Conlin
• Heather Ann Connor, LISW
• Fred A Contant
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Gina Couch
• Jennifer Cox, RPH

• Obstetrics & Gynecology Physician in Liberty Township, OH
• Providers in Liberty Township, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.