Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871589267 Individual Practitioner Male Practitioner

Dr. John E Costello , MD

Internal Medicine • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Dr. John Costello, MD is a registered healthcare professional specializing in Internal Medicine in Ithaca, NY. Practice services are available at 217 N AURORA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

217 N Aurora St

Ithaca, NY 148504345

Telephone 6072732811
Fax 6072731170
Associated Practice Facility / Clinic
🏢 Ann R. Costello, Md Facility NPI 1528269230

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
58 Specialists

Practicing in Ithaca, NY (12979 Statewide)

Telehealth Adoption Rate
29.3% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 149867

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00715224 (NY)
Commercial Insurance / Payer ID Aetna
4217992
Commercial Insurance / Payer ID Healthnow
000910795001

Practice Associates & Co-Workers

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

8 Associated Practitioners
Jessa Dauria , ARNP

Nurse Practitioner - Adult Health

NPI 1013244722

Advanced Registered Nurse Practitioner

Bonnie Lefkowitz-White , FNP

Nurse Practitioner - Family

NPI 1073995767

Family Nurse Practitioner

Dr. Ann Costello , MD

Internal Medicine

NPI 1235125626

Doctor of Medicine (M.D.)

Dr. Judith Griffin , MD

Internal Medicine

NPI 1356629240

Doctor of Medicine (M.D.)

Nancy Banfield Johnson , NP

Nurse Practitioner - Adult Health

NPI 1437767407

Nurse Practitioner

Elizabeth Hoffmeier , NP

Nurse Practitioner - Family

NPI 1629064142

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2008

Registered at 217 N AURORA ST, ITHACA, NY 148504345 (Tel: 6072732811)

📍
Updated Business Mailing Address April 30, 2008

Registered at 217 N AURORA ST, ITHACA, NY 148504345 (Tel: 6072732811)

👤
Provider Name / Credentials Updated April 30, 2008

Recorded as JOHN COSTELLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2008

Internal Medicine (License #149867 in NY)

🟢
Initial NPI Registration & Enumeration September 21, 2005

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: 1871589267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2005
Last Update: April 30, 2008
Sole Proprietor: Yes

Mailing Address

217 N Aurora St

Ithaca, NY 148504345

Phone: 6072732811

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.