Individual provider Active NPI

Frank F Kostylo, DPM

  • Podiatrist
  • Hilton Head Island, SC
National Provider Identifier
1831124874
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
71 Issued in SC
Practice address
92 Main St Ste E
Hilton Head Island, SC 29926-1754
Phone
(843) 689-3338
Fax
(843) 681-3102
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 71 SC Primary

Addresses

Primary practice location

92 Main St Ste E
Hilton Head Island, SC 29926-1754

Mailing address

92 Main St Ste E
Hilton Head Island, SC 29926-1754
Phone (843) 689-3338

Other practice location 1

88D Main St
Hilton Head Island, SC 29926-1684
Phone (843) 689-3338

Other identifiers 2

IdentifierTypeStateIssuer
GP9969MedicaidSC
PD0715MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000863 SC Practitioner - Podiatry 3173790219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Ohio State University College of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

92 Main St
Suite E
Hilton Head Island, SC 29926-1754
Phone (843) 689-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue69
Removal or shaving of skin growth128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71SCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Hilton Head PA Podiatrist CurrentSince Jan 1, 2012 Accepting new patients
Podiatry Associates of Hilton Head Podiatrist Past Accepting new patients

Locations

88 Main St
Ste D
Hilton Head Island, SC 29926
Phone (803) 689-3338

92 Main St
Ste E
Hilton Head Island, SC 29926
Phone (843) 689-3338

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1831124874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MAIN ST STE E",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261754",
            "telephone_number": "843-689-3338",
            "fax_number": "843-681-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAIN ST STE E",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261754",
            "telephone_number": "843-689-3338",
            "fax_number": "843-681-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88D Main St",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299261684",
            "country_code": "US",
            "telephone_number": "843-689-3338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTYLO",
        "first_name": "FRANK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9969",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD0715",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.