Kevin Robert Costello, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

458 Old Street Rd
Suite 200
Peterborough, NH 03458-1265

Phone

(603) 924-2144

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monadnock Community HospitalGroup PAC ID 7416933031, shared by 5 NPIs, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.costello@mhp.eclinicaldirectplus.com

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.

• Monadnock Community Hospital

  • Critical Access Hospital
  • Peterborough, NH
  • NPI 1457304149
  Medicare reassignment NPD
• Monadnock Community Hospital

  • Critical Access Hospital
  • Peterborough, NH
  • NPI 1881676104
  Medicare reassignment NPD
• Monadnock Orthopaedic Associates

  • Specialist
  • Peterborough, NH
  • NPI 1992879936
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monadnock Community Hospital

  • Critical Access Hospital
  • Peterborough, NH
  • NPI 1457304149
  Care Compare affiliation
• Monadnock Community Hospital

  • Critical Access Hospital
  • Peterborough, NH
  • NPI 1881676104
  Care Compare affiliation

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1861441545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 OLD STREET RD",
            "address_2": "SUITE 200",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581265",
            "telephone_number": "603-924-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 OLD STREET RD",
            "address_2": "SUITE 200",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581265",
            "telephone_number": "603-924-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30338176",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0017075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather A Cohen
• Comprehensive Rehabilitation, LTD
• Eric R Conte, PHARMD
• Contoocook Valley School District
• Taylor Joan Cordts, PT, DPT
• Counseling by Chris
• Brian Peter Cromer, N.P.
• Shelly Cross, LMFT
• Aaron Cubbage, L.M.T.
• CVS Manchester NH LLC (CVS Pharmacy# 03063)

• Surgical Physician Assistant in Peterborough, NH
• Providers in Peterborough, NH by specialty
• Surgical Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.