Individual provider Active NPI

Andrew Joseph Kostiuk, M.D.

  • Colon & Rectal Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1801452164
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD490455 Issued in PA
Practice address
1050 Bower Hill Rd Ste 208
Pittsburgh, PA 15243-1868
Phone
(412) 572-6192
NPI assigned
May 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD490455 PA Primary

Addresses

Primary practice location

1050 Bower Hill Rd Ste 208
Pittsburgh, PA 15243-1868

Mailing address

852 N Lincoln Ave Unit 2
Pittsburgh, PA 15233-1812
Phone (330) 323-9252

Other practice location 1

1400 Locust Street
Ermire: Suite 6511
Pittsburgh, PA 15219
Phone (412) 232-5528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250917000962 PA Practitioner - Colorectal Surgery (Proctology) 1456720580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Toledo College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1050 Bower Hill Rd
Suite 208
Pittsburgh, PA 15243-1868
Phone (412) 572-6194

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Sep 1, 2025 Accepting new patients
St. Clair Medical Services Inc. CurrentSince Sep 1, 2025 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

1050 Bower Hill Rd
Ste 208
Pittsburgh, PA 15243
Phone (412) 572-6192

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 4

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1801452164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 N LINCOLN AVE UNIT 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152331812",
            "telephone_number": "330-323-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BOWER HILL RD STE 208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431868",
            "telephone_number": "412-572-6192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Locust Street",
            "address_2": "Ermire: Suite 6511",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15219",
            "country_code": "US",
            "telephone_number": "412-232-5528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTIUK",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD490455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.