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Jonah Marcel Costello

General Practice β€’ Dayton, OH

Active NPI 1770334336 Individual Practitioner Male Practitioner
Practice location in NPPES

4881 Sugar Maple Dr
Dayton, OH 454335529

Call 9372579926 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Dayton, OH 454335529

Telephone 9372579926
Organization at the Same NPPES Address or Phone
Dfas-Jfll/in Facility NPI 1164892949

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jonah Costello has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jonah Costello as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Dayton and Ohio

11 active clinicians are listed under General Practice with a practice address in Dayton, OH (281 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0% of these 11 clinicians have the CMS telehealth indicator.

27.3% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-18
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES WI 82122-21

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - INTERNAL MEDICINE

Medicare Enrollment ID

I20240531003172

Enrollment State Jurisdiction

OH

PECOS Control ID

5092157370

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Gregory Haack , MD

Internal Medicine

NPI 1235125261

Doctor of Medicine (M.D.)

Dr. Kelsey Wilson , DO

Internal Medicine

NPI 1073051306

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2026

General Practice (license number reported to NPPES: WI 82122-21)

πŸ“
Updated Practice Location February 02, 2026

Registered at 4881 SUGAR MAPLE DR, DAYTON, OH 454335529 (Tel: 9372579926)

πŸ“
Updated Business Mailing Address February 02, 2026

Registered at 4881 SUGAR MAPLE DR, DAYTON, OH 454335529 (Tel: 9372579926)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2025

Student in an Organized Health Care Education/Training Program

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Military Health Care Provider

βœ…
NPI Profile Active April 01, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 01, 2024

Registered at 30 E APPLE ST FL 6, DAYTON, OH 454092939 (Tel: 9372082866)

πŸ“
Business Mailing Address (Initial Record) April 01, 2024

Registered at 30 E APPLE ST FL 6, DAYTON, OH 454092939 (Tel: 9372082866)

πŸ‘€
Provider Name / Credentials (Initial Record) April 01, 2024

Recorded as JONAH COSTELLO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 01, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770334336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2024
Last Update: April 18, 2026
Sole Proprietor: No

Other General Practices in Dayton

Healthcare providers in Dayton

Mailing Address

4881 Sugar Maple Dr

Dayton, OH 454335529

Phone: 9372579926

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.