Active NPI
Julie Lee Costello, MD
- Pulmonary Disease Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35052049
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0680160 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35052049 | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knox Community Hospital | Current | Accepting new patients | |
| Mount Carmel Healthproviders Two LLC | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Knox Community Hospital | Current | Accepting new patients | |
| Mount Carmel Healthproviders Two LLC | Current | 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.
-
- Family Medicine Physician
- Mount Vernon, OH
- NPI 1154483022
-
dba Mount Carmel Medical Group
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1134154750
-
dba KCH Northside Pharmacy
- Community/Retail Pharmacy
- Mount Vernon, OH
- NPI 1073351557
-
- General Acute Care Hospital
- Mount Vernon, OH
- NPI 1295761963
-
dba Knox Community Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Mount Vernon, OH
- NPI 1366154064
-
- Anesthesiology Physician
- Mount Vernon, OH
- NPI 1679626287
-
dba Mount Carmel Breast Surgery at West
- Surgery Physician
- Columbus, OH
- NPI 1528203981
-
dba Mt. Carmel Family Practice
- Family Medicine Physician
- Westerville, OH
- NPI 1184646705
-
dba Mount Carmel West Physicians
- Hospitalist Physician
- Columbus, OH
- NPI 1932120268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.