Individual provider Active NPI

Julie Lee Costello, MD

  • Pulmonary Disease Physician
  • Columbus, OH
National Provider Identifier
1831144625
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35052049 Issued in OH
Practice address
5969 E Broad St
Suite 400
Columbus, OH 43213-1546
Phone
(614) 577-8322
Fax
(614) 577-8302
NPI assigned
May 23, 2006
Last updated
Feb 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35052049 OH Primary

Addresses

Primary practice location

5969 E Broad St
Suite 400
Columbus, OH 43213-1546

Mailing address

5969 E Broad St
Suite 400
Columbus, OH 43213-1546
Phone (614) 577-8322

Other identifiers 1

IdentifierTypeStateIssuer
0680160MedicaidOH

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
I20110309000742 OH Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9335321546 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35052049OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Community Hospital CurrentSince Sep 13, 2022 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Jun 15, 2011 Accepting new patients
Knox Community Hospital Current Accepting new patients
Knox Community Hospital CurrentSince Sep 13, 2022 Accepting new patients
Knox Community Hospital Current Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Jun 15, 2011 Accepting new patients
Knox Community Hospital Current Accepting new patients
Mount Carmel Health Past Accepting new patients
Mount Carmel Health Past Accepting new patients

Locations

5969 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 577-8322

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1831144625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST",
            "address_2": "SUITE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131546",
            "telephone_number": "614-577-8322",
            "fax_number": "614-577-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST",
            "address_2": "SUITE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131546",
            "telephone_number": "614-577-8322",
            "fax_number": "614-577-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JULIE",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35052049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0680160",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.