Costa Clinic PLLC
NPI 1366218414 · Family Medicine Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Costa Clinic PLLC is a Family Medicine Physician organization in Phoenix, AZ (NPI 1366218414).
Provider details
- NPI number
- 1366218414
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Priyanka Costa Hennis, Medical Director(312) 625-0574
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Scottsdale Premier Care
- Doing business as
- Scottsdale Premier Care
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2023-12-14
- Certified
- 2023-12-14
Frequently asked questions
- What is Costa Clinic PLLC's NPI number?
- Costa Clinic PLLC's National Provider Identifier (NPI) is 1366218414, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Costa Clinic PLLC?
- Costa Clinic PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Costa Clinic PLLC located?
- Costa Clinic PLLC's practice location on file with NPPES is 3811 E Bell Rd Ste 106, Phoenix, AZ 85032-2158.
- What is Costa Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Costa Clinic PLLC is (602) 443-1085.
- Does Costa Clinic PLLC accept Medicare?
- Costa Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Costa Clinic PLLC?
- The authorized official listed on Costa Clinic PLLC's NPPES record is Priyanka Costa Hennis, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Costa Clinic PLLC's NPI active?
- Yes — Costa Clinic PLLC's NPI (1366218414) is active in the NPPES registry as of the last update on 2023-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.