Jonah Marcel Costello
NPI 1770334336ActiveIndividual· General Practice· Dayton, OH
General Practice in Dayton, Ohio, licensed in WI, with an NPI issued in April 2024. Enrolled in Medicare as order and referring only - internal medicine.
Overview
| NPI | 1770334336 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 1, 2024 |
| Last updated in NPPES | Apr 18, 2026 |
| Certified by provider | Apr 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 82122-21 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Internal Medicine (OH) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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