Kathleen Costello

MD | Pediatric Emergency Medicine | Female

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Complete Profile:

Kathleen Costello basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Kathleen Costello
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Kathleen Costello address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	5323 Harry Hines Blvd Dallas, TX, 75390-7701 United States
Phone Number :	214-456-7000
Fax Number :	214-456-8132

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1891180550
NPI Entity Type :	Individual
First Enrolment Date :	31 Mar, 2015
Last Updated On :	27 Jul, 2021

Medicare Participation:

Kathleen Costello participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8628311503
Medicare Enrollment ID :	I20190516000260
Primary Specialty :	Pediatric Medicine
Medical School :	Saint Louis University School Of Medicine
Graduation Year :	2015
Accepts Medicare?	Yes. Kathleen Costello accepts medicare insurance.

Group Practice Association:

Kathleen Costello is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kathleen Costello is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Texas Southwestern Medical Center	0648188250	2495	1935 Medical District Dr Dallas, TX - 752357701 Ph: 2144566745	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Costello are as mentioned. Primary taxonomy code for Kathleen Costello, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
390200000X	Student in an Organized Health Care Education/Training Program	No
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	R6168	TX
208000000X	Pediatrics	No	R6168	TX

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 845347 Dallas, TX, 75284-5347 United States
Phone Number :	214-456-7000
Fax Number :	214-456-8132

Business Location:

Patients can refer following map for directions to Kathleen Costello practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.