Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Costello, MD

Individual provider Pediatrics Physician · NPI 1053302992

John Costello, MD is a Pediatrics Physician in Charleston, South Carolina. Licensed in Massachusetts and South Carolina. Registered with an NPI since 2005.

Licensed in
MA, SC
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 52686 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 217260 (MA)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence 52686 (SC)

Record details

NPI number1053302992
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022

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