IndividualActive
Mark Kostelak, CCP
NPI 1578161105 · Perfusionist · New Orleans, LA
Provider details
- NPI number
- 1578161105
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- Yes
- License
- PEF.200076
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Southeast Louisiana Veterans Health Care System
2400 Canal Street
New Orleans, LA 70119
Phone: (504) 784-5364
Approximate (ZIP-level) locationGet directions
Mailing address
29 Magnolia Trace Dr
Harvey, LA 70058-6112
Registry dates
- Enumerated
- 2020-10-15
- Last updated
- 2020-10-15
- Certified
- 2020-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.