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

Kyle Costenbader

Individual provider Pediatric Radiology Physician · NPI 1699302661

Kyle Costenbader is a Diagnostic Radiology in Houston, Texas. Graduated from George Washington University School of Medicine in 2020, 6 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 9 locations and accepts Medicare assignment. Licensed in Pennsylvania and Texas.

Years since qualifying
6
Trained at
George Washington University School of Medicine
Licensed in
PA, TX
In the registry since
2020
Specialties on file
3

Practice location Address checks out

6701 Fannin St Ste 470
Houston, TX 77030-2608
Phone: (631) 219-6531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 1201 Letort Springs Way, Carlisle, PA 17015-8011 — (717) 674-7600
  • 169 Martin Ave, Ephrata, PA 17522-1734 — (717) 738-6414
  • 36 Robinhood Dr, Etters, PA 17319-9528 — (717) 388-7300
  • 147 Gettys St, Gettysburg, PA 17325-2534 — (717) 337-4207
  • 35 Erick Rd, Lancaster, PA 17601-3111 — (717) 690-0785
  • 252 S 4th St, Lebanon, PA 17042-6111 — (717) 270-7732
  • 14781 Wolfe Rd, New Freedom, PA 17349-9571 — (717) 326-1880
  • 35 Monument Rd Ste 201, York, PA 17403-5074 — (717) 812-4083

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD493781 (PA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence W5302 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699302661
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address6701 Fannin St Ste 470, Houston, TX 77030-2608

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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