Individual Healthcare Provider
Justin Costello, D.O.
Provider's NPPES record last updated: August 13, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1215235916
- Primary Specialty
- Radiology — Vascular & Interventional Radiology
- Practice Location
- Tyler, Texas
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 2:29 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Taxonomy code 2085R0204X Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202X
Provider-Reported License Information
- Radiology (Texas)
- R3055
- Radiology (Nebraska)
- 973
- Radiology (Texas)
- R3055
Practice Locations
Practice Location
910 E Houston St Ste 210
Tyler, Texas 75702-8369
Phone: (903) 705-0072
Additional Practice Location
3851 Roger Brooke Drive, Fort Sam Houston
San Antonio, Texas 78234-6200
Phone: (210) 916-5545
Additional Practice Location
18118 Fm 344 W
Flint, Texas 75762-6010
Phone: (903) 825-3292
Fax: (903) 825-3151
Additional Practice Location
1010 N 102nd St Ste 201
Omaha, Nebraska 68114-2122
Phone: (833) 228-6889
Fax: (877) 853-0376
Additional Practice Location
700 Olympic Plaza Cir Ste 100
Tyler, Texas 75701-1951
Phone: (903) 262-3900
Additional Practice Location
117 N Winnsboro St
Quitman, Texas 75783-2144
Phone: (903) 763-6333
Additional Practice Location
2208 Three Lakes Pkwy Ste 102
Tyler, Texas 75703-0538
Phone: (903) 262-3900
Additional Practice Location
800 E Dawson St
Tyler, Texas 75701-2036
Phone: (903) 591-5777
Additional Practice Location
2701 US Highway 271 N
Pittsburg, Texas 75686-4289
Phone: (903) 946-5365
Additional Practice Location
1000 S Beckham Ave
Tyler, Texas 75701-1908
Phone: (903) 596-3470
Additional Practice Location
1000 E 5th St Ste 300
Tyler, Texas 75701-3333
Phone: (903) 531-8000
Additional Practice Location
409 Cottage Rd
Carthage, Texas 75633-1466
Phone: (903) 694-4941
Record Information
- Enumeration Date
- March 3, 2011
- Provider's NPPES Record Last Updated
- August 13, 2026
- Certification Date
- August 13, 2026
- NPISignal NPPES Dataset
- August 2026
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