Individual
DR. JOHN B COSTELLO
Active
Individual
DR. JOHN B COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R9162
MO
207RR0500X
Rheumatology Physician
R9162
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112155277
RAILROAD MEDICARE
—
01
—
130260
GHP
—
01
—
2154714
AETNA SPECIALIST
—
01
—
5502
BLUE CROSS BLUE SHIELD MO
—
01
—
87043
FIRST HEALTH
—
01
—
951692
AETNA
—
Enumeration date
08/20/2006
Last updated
07/15/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up