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

Justin Costello, DO

Individual provider Diagnostic Radiology Physician · NPI 1215235916

Justin Costello, DO is a Diagnostic Radiology in San Antonio, Texas. Qualified in 2011, 15 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Nebraska and Texas.

Years since qualifying
15
Licensed in
NE, TX
In the registry since
2011
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3851 Roger Brooke Drive Fort Sam Houston
San Antonio, TX 78234-6200
Phone: (210) 916-5545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1010 N 102nd St Ste 201, Omaha, NE 68114-2122 — (833) 228-6889
  • 800 E Dawson St, Tyler, TX 75701-2036 — (903) 591-5777
  • 910 E Houston St Ste 100, Tyler, TX 75702-8363 — (903) 705-0072

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence R3055 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 973 (NE)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence R3055 (TX)

Record details

NPI number1215235916
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 3, 2011
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address3851 Roger Brooke Dr, San Antonio, TX 78234-4500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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