GLOVER, KELTY & SCHULTHEIS MDS – Anatomic Pathology & Clinical Pathology Physician, NPI 1245263243
Anatomic Pathology & Clinical Pathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GLOVER, KELTY & SCHULTHEIS MDS
Christopher Costanzo MD, 2190, Lynn Road, Thousand Oaks, Ventura County, California, 91360, United States
SUITE 220
THOUSAND OAKS, CA 913601980
Phone: (805) 495-8050
Fax: (805) 496-2160
Type: Mailing
Los Robles Regional Medical Center Medical Staff Library, 215, West Janss Road, Thousand Oaks, Ventura County, California, 91360, United States
PATHOLOGY DEPARTMENT
THOUSAND OAKS, CA 913601847
Phone: (805) 373-8582
Fax: (805) 373-6865
Type: Location
PO BOX 29019
GLENDALE, CA 912099019
Phone: (800) 288-8325
Fax: (419) 866-5453
Type: Mailing
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: 2005-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation due soon
Earliest CMS due date is 2026-07-31 (48 days away).
Enrollment records
1
Earliest due date
2026-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20051004000298 | O | Clinic/Group Practice | CA | 2026-07-31 |
What to do next
- Confirm the due date on the CMS Revalidation Lookup Tool.
- Complete revalidation in PECOS before the published due date.
- If you have multiple enrollment records, revalidate each one on its own schedule.
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 91360)
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