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

Mr. Andrew Costerisan, PA-C

Individual provider Physician Assistant · NPI 1477825651

Mr. Andrew Costerisan, PA-C is a Physician Assistant in Dayton, Ohio. Qualified in 2011, 15 years ago. Practices with Alliance Physicians Inc, a 314-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Illinois and Ohio.

Years since qualifying
15
Licensed in
FL, IL, OH
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 E Alex Bell Rd Ste 190
Dayton, OH 45459-2752
Phone: (937) 425-4030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 Mathers Rd, Springfield, IL 62711-7064 — (217) 789-3600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008187RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence PA 9106409 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 085004969 (IL)

Record details

NPI number1477825651
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 2, 2012
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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