Nicholas P Costidakis is a Lafayette, Indiana based male podiatrist with 34 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 1990. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicholas P Costidakis for Podiatry is 07000748A in Indiana. Nicholas P Costidakis is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Nicholas P Costidakis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
34+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
1990
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2606 Veterans Memorial Pkwy S Ste 8, Lafayette, Indiana, 47909-9192
Phone:
765-447-4776
Fax:
765-447-4809
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4183696610
Enrollment ID:
I20110128000082
NPI Number:
1972571297
NPI Enumeration Date:
11 Mar, 2006
NPI Last Update On:
22 Mar, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas P Costidakis are as mentioned below.
License Number
Specialization
State
Status
07000748A
Podiatry
Indiana
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicholas P Costidakis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Unity Healthcare Llc (0244123362)
86
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicholas P Costidakis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
100232960
Medicaid
Indiana
10781139
Other
Indiana
CAQH
480034530
Other
Indiana
MEDICARE RAILROAD NUMBER
000000247376
Other
Indiana
ANTHEM PROVIDER NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 4699, Lafayette, Indiana
Zip:
47903-4699
Phone Number:
765-449-2732
Fax Number:
765-449-1196
Patients can reach Nicholas P Costidakis at 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, Indiana or can call to book an appointment on 765-447-4776. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.