Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366470403 Individual Practitioner Male Practitioner

Dr. Michael J Costello , MD

Surgery • Fort Pierce, FL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Costello, MD is a registered healthcare professional specializing in Surgery in Fort Pierce, FL. Practice services are available at 2215 NEBRASKA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2215 Nebraska Ave
Suite 3d

Fort Pierce, FL 349504864

Telephone 7724614666
Fax 7724643005
Associated Practice Facility / Clinic
🏢 With Women In Mind Ob/gyn Facility NPI 1992770465

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fort Pierce, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.3 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Fort Pierce, FL (2030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME0026473

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License FL ME0026473

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License FL ME0026473

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
056288200 (FL)
Commercial Insurance / Payer ID Blue Cross/blue Shield
50734 (FL)
Commercial Insurance / Payer ID Aetna
4245215 (FL)
Commercial Insurance / Payer ID Railroad Medicare
021998467 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

MDFACS

Dr. Sanjiv Walia , MD

Internal Medicine - Hematology & Oncology

NPI 1336253681

Doctor of Medicine (M.D.)

NPI 1396752986

Doctor of Medicine (M.D.)

Dr. Ahmad Rashid , MD

Internal Medicine - Cardiovascular Disease

NPI 1437150109

Doctor of Medicine (M.D.)

Dr. Abdul Shadani , MD

Internal Medicine - Cardiovascular Disease

NPI 1467593681

Doctor of Medicine (M.D.)

Dr. Ibrahim Bohsali , MD

Otolaryngology - Plastic Surgery within the Head & Neck

NPI 1548261472

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2013

Registered at 2215 NEBRASKA AVE, SUITE 3D, FORT PIERCE, FL 349504864 (Tel: 7724614666)

📍
Updated Business Mailing Address January 23, 2013

Registered at 2215 NEBRASKA AVE, SUITE 3D, FORT PIERCE, FL 349504864 (Tel: 7724614666)

👤
Provider Name / Credentials Updated January 23, 2013

Recorded as MICHAEL COSTELLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2013

Surgery (License #ME0026473 in FL)

🟢
Initial NPI Registration & Enumeration June 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366470403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2006
Last Update: January 23, 2013
Sole Proprietor: No

Mailing Address

2215 Nebraska Ave, Suite 3d

Fort Pierce, FL 349504864

Phone: 7724614666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.