Individual provider Active NPI

Tirza M Costello, M.D.

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1821388984
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35123254 Issued in OH
Practice address
6350 Glenway Ave
Suite 300
Cincinnati, OH 45211-6378
Phone
(513) 481-9700
Fax
(513) 389-7091
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35123254 OH Primary

Addresses

Primary practice location

6350 Glenway Ave
Suite 300
Cincinnati, OH 45211-6378

Mailing address

2753 Erie Ave
Second Floor
Cincinnati, OH 45208-2204
Phone (513) 481-9700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141204002293 OH Practitioner - Pediatric Medicine 5193047942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Ohio State University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

6350 Glenway Ave
Suite 300
Cincinnati, OH 45211-6380
Phone (513) 481-9700

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
88.71
Promoting interoperability
100
Improvement activities
40
Cost
74.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35123254OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince May 27, 2020 Accepting new patients
Trihealth G LLC Pediatrics CurrentSince May 27, 2020 Accepting new patients
Trihealth G LLC Pediatrics Past Accepting new patients

Locations

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

2753 Erie Ave
Cincinnati, OH 45208
Phone (513) 246-8000

2753 Erie Ave
Fl Second
Cincinnati, OH 45208

6949 Good Samaritan Dr
Ste 220
Cincinnati, OH 45247
Phone (513) 246-8037

6350 Glenway Ave
Ste 300
Cincinnati, OH 45211
Phone (513) 481-9700

Interoperability endpoints

  • Direct secure messaging: tcostello34960@direct.trihealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1821388984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 ERIE AVE",
            "address_2": "SECOND FLOOR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452082204",
            "telephone_number": "513-481-9700",
            "fax_number": "513-389-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-481-9700",
            "fax_number": "513-389-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "TIRZA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35123254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.