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

Marybeth Kostiuk

Individual provider Family Medicine Physician · NPI 1932640398

Marybeth Kostiuk is a Family Practice in Novi, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Primecare of Novi PLLC, a 7-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
9
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

39555 W 10 Mile Rd Ste 302
Novi, MI 48375-2950
Phone: (248) 426-7200
Show map & directions

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

Additional practice locations (1)

  • 58024 Van Dyke Rd, Washington, MI 48094-4518 — (586) 781-5535

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101023202 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932640398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 17, 2017
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address39555 W 10 Mile Rd Ste 302, Novi, MI 48375-2950

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Primecare Of Novi Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Novi