Active NPI
Lia Kostiuk, MD
- Public Health & General Preventive Medicine Physician
- Madison, WI
National Provider Identifier
1881076255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 6631851
- Practice address
- Uw Hospitals and Clinics 600 Highland Ave
Madison, WI 53792-5112 - Phone
- (608) 263-6400
- NPI assigned
- Jun 22, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | 6631851 | WI | Primary |
Addresses
Primary practice location
Uw Hospitals and Clinics 600 Highland Ave
Madison, WI 53792-5112
Mailing address
1510 Stadium Way, Apt 204
Indianapolis, IN 46202
Phone (248) 238-4929
Other practice location 1
545 Barnhill Dr
Indianapolis, IN 46202-5112
Phone (317) 274-4966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6631851 | WI | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881076255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 STADIUM WAY, APT 204",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "248-238-4929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UW HOSPITALS AND CLINICS 600 HIGHLAND AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537925112",
"telephone_number": "608-263-6400"
}
],
"practiceLocations": [
{
"address_1": "545 Barnhill Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025112",
"country_code": "US",
"telephone_number": "317-274-4966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOSTIUK",
"first_name": "LIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "WI",
"license": "6631851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.