Gerard T Costello, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01034732 Issued in IN

Practice address

2401 University Ave
Muncie, IN 47303

Phone

(765) 741-3111

Fax

(765) 741-1877

NPI assigned

Dec 21, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gcostello@direct.iuhealth.org

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.

• Delaware County Anesthesiologists

  • Anesthesiology Physician
  • Muncie, IN
  • NPI 1285673061
  NPD (past)
• Indiana University Health Ball Memorial Medical Group, LLC

  • Anesthesiology Physician
  • Muncie, IN
  • NPI 1295001337
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1902960149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "address_2": "RCS PROVIDER ENROLLMENT",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988",
            "telephone_number": "765-254-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "47303",
            "telephone_number": "765-741-3111",
            "fax_number": "765-741-1877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Muncie",
            "state": "IN",
            "postal_code": "473044307",
            "country_code": "US",
            "telephone_number": "765-751-5010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "GERARD",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01034732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GCOSTELLO@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2401 University Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Cowan Community School Corp.

• Anesthesiology Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.