Benjamin Costello, MD
Individual provider Active NPI Internal Medicine Physician · Newport, KY
NPI 1841452299 · NPPES record last updated Jan 12, 2026
Key facts
- NPI
- 1841452299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 52922 (KY)
- Practice address
- 1400 Grand Ave
Newport, KY 41071-2570 - Phone
- (859) 781-2210
- Fax
- (859) 781-0289
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
1500 James Simpson Jr Way
Covington, KY 41011-0801
Phone (859) 655-8910
Hospital & facility affiliations
- St Elizabeth Home Care
- St Elizabeth Edgewood
- St Elizabeth Ft Thomas
- St Elizabeth Florence
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220913001065 | KY | Practitioner - Internal Medicine | 0648321315 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52922 | KY | MD | Internal Medicine Physician |
| 35.092494 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Summit Medical Group, Inc | Internal Medicine | Current |
Accepting new patients |
Locations
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- bcostello329632@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 52922 | KY | Yes |
| Internal Medicine Physician | 207R00000X | 35.092494 | OH |
Addresses
Primary practice location
1400 Grand Ave
Newport, KY 41071-2570
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 344-5555
Other providers in Newport, KY
- Randall Evan Combs
- Colleen Connaughton
- Mark Douglas Cooper
- Melissa Sullivan Corder
- Cornerstone Caregiving East LLC
- Elizabeth Walsh Czirr
- Linda D'Erminio
- Stafford Russell Damron
- Jenna M. Davis
- Megan Mackenzie De Araujo
All providers in Newport, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.