Individual provider Active NPI

Michelle F Costa, D.O.

  • Rheumatology Physician
  • Falmouth, MA
National Provider Identifier
1962548941
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
230764 Issued in MA
Practice address
90 Ter Heun Drive
Suite 101
Falmouth, MA 02540
Phone
(508) 495-7160
Fax
(508) 495-7152
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 230764 MA Primary

Addresses

Primary practice location

90 Ter Heun Drive
Suite 101
Falmouth, MA 02540

Mailing address

25 Communications Way
Macc-Revenue Cycle
Hyannis, MA 02601-1866
Phone (508) 957-8664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000166 MA Practitioner - RheumatologyPractitioner - Vascular Surgery 3274625157 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
230764MAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Physicians Organization CurrentSince Sep 23, 2022 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 6, 2007 Accepting new patients
Nantucket Cottage Hospital CurrentSince Sep 23, 2022 Accepting new patients
Nantucket Cottage Hospital Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Aug 6, 2007 Accepting new patients

Locations

90 Ter Heun Dr
Ste 101
Falmouth, MA 02540
Phone (508) 495-7160

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

25 Communication Way
Hyannis, MA 02601
Phone (508) 957-8669

27 Park St
#2
Hyannis, MA 02601
Phone (508) 862-5891

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1962548941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMUNICATIONS WAY",
            "address_2": "MACC-REVENUE CYCLE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011866",
            "telephone_number": "508-957-8664",
            "fax_number": "508-957-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 TER HEUN DRIVE",
            "address_2": "SUITE 101",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "02540",
            "telephone_number": "508-495-7160",
            "fax_number": "508-495-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "MICHELLE",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "230764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.