DR. HEATHER HELENE COSTELLO (MD) – Hospice and Palliative Medicine (Emergency Medicine) Physician, NPI 1245496819

DR. HEATHER HELENE COSTELLO (MD) is a healthcare provider. based in Evanston, Illinois. specializing in HOSPICE/PALLIATIVE CARE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 036122460 (IL). The NPI Number for DR. HEATHER HELENE COSTELLO (MD) is 1245496819

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER HELENE COSTELLO (MD)
NPI
1245496819
Phone
(847) 570-2114
Address
2150 RIDGE AVENUE
Enumeration Date
4 August 2008
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
3123002190
Graduation Year
2005 (21 years ago)
PAC ID
6608927710
Group Practice PAC ID
2264820067
Professional Enrollment ID
I20090701000359
Address ID
IL606545508CH708XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

176 HOSPICE/PALLIATIVE CARE in IL

Provider Addresses for DR. HEATHER HELENE COSTELLO (MD)

  • 2150, Ridge Avenue, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 60201

    Phone: (847) 570-2114

    Type: Mailing

  • 800 Biesterfield Rd

    Elk Grove Village, IL 600073361

    Phone: (847) 690-1858

    Type: Location

  • 7435 W Talcott Ave

    Chicago, IL 606313707

    Phone: (773) 990-6901

    Type: Location

  • 2050 CLAIRE CT

    GLENVIEW, IL 600257635

    Phone: (847) 570-2114

    Type: Mailing

  • Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON, IL 602011718

    Phone: (847) 570-2114

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090701000359IHospice/Palliative CareILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264820067View full group profile
NameSpecialtyState
P S Y C H I A T R YIL

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Frequently asked questions

How do I look up DR. HEATHER HELENE COSTELLO (MD) by NPI?
Use NPI 1245496819 when you need to reference DR. HEATHER HELENE COSTELLO (MD) in forms, claims, or directories.
Is DR. HEATHER HELENE COSTELLO (MD)'s NPI currently valid?
The extract we use shows DR. HEATHER HELENE COSTELLO (MD) as active.
What kind of provider is DR. HEATHER HELENE COSTELLO (MD)?
The page reflects Hospice and Palliative Medicine (Emergency Medicine) Physician for DR. HEATHER HELENE COSTELLO (MD). Clinical services aligned with this taxonomy classification.
Where is DR. HEATHER HELENE COSTELLO (MD)'s primary listing?
We display Evanston, Illinois because that is what the record indicates for DR. HEATHER HELENE COSTELLO (MD).
Is DR. HEATHER HELENE COSTELLO (MD) a real provider?
This page reflects official NPPES data for NPI 1245496819. Always confirm identity and privileges with the practice and licensing boards.

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