Dr. Angelo Andrew Costas, M.D.
Internal Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1104874791
StatusActive
Last updated in NPPESMar 1, 2016
Details
- NPI
- 1104874791
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angelo Andrew Costas
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Mar 1, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036092729 | IL | Yes |
Practice location
200 S Michigan AveSuite 805
Chicago, IL 60604-2402
Phone 312-922-3815 · Fax 312-922-3789
Mailing address
200 S Michigan AveSuite 805
Chicago, IL 60604-2402
Phone 312-922-3815 · Fax 312-922-3789
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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