Active NPI
Geanina Oana Costea, M.D.
- Child & Adolescent Psychiatry Physician
- East Providence, RI
National Provider Identifier
1891740189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD11709
- Practice address
- 1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061 - Phone
- (401) 432-1161
- Fax
- (401) 432-1500
- NPI assigned
- May 24, 2006
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD11709 | RI | Primary |
Addresses
Primary practice location
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
Mailing address
1011 Veterans Memorial Pkwy
East Providence, RI 02915-5061
Phone (401) 432-1284
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412797 | Other | RI | BLUE CHIP |
| 15-29046 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 29696-0 | Other | RI | BLUE CROSS |
| GC56394 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050910000234 | RI | Practitioner - Psychiatry | 5799717781 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11709 | RI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients |
Locations
1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000
Interoperability endpoints
- gcostea10669@brownhealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Riverside, RI
- NPI 1073705943
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1891740189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 VETERANS MEMORIAL PKWY",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029155061",
"telephone_number": "401-432-1284",
"fax_number": "401-432-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 VETERANS MEMORIAL PKWY",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029155061",
"telephone_number": "401-432-1161",
"fax_number": "401-432-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTEA",
"first_name": "GEANINA",
"middle_name": "OANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "RI",
"license": "MD11709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "412797",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "15-29046",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "29696-0",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GC56394",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.