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SAMIR DAVID DACOSTA
NPI 1083240923
Anesthesiology in Ypsilanti, MI

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment
5301 MCAULEY DR, YPSILANTI, MI 48197(734) 712-3456 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2020, Mar 22, 2020 (2 updates tracked since 2020).

About Samir David Dacosta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMIR DAVID DACOSTA (NPI 1083240923) is an individual anesthesiology provider in Ypsilanti, Michigan, licensed in Illinois (125.075921) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083240923
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameSAMIR DAVID DACOSTA
Location Address5301 MCAULEY DRYpsilanti, MI 48197-1051
Mailing Address251 E Huron StChicago, IL 60611-3055 · (312) 962-2000
Phone(734) 712-3456
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 22, 2020
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1083240923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in IL · 125.075921
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5301 MCAULEY DR, Ypsilanti, MI 48197
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samir David Dacosta is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971046376
PECOS Enrollment IDI20240613001856
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
19 services18 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
16 services16 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Chelsea Hospital

Acute Care Hospitals · Chelsea, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230259
Location775 S Main StChelsea, MI 48118 · Washtenaw County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY NICOLE FARAH-BRUNNER M.D.
Pediatrics
5301 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3325
BRIANNA KATHRYN BREITNER KRUEGER
Nurse Practitioner (Psychiatric/Mental Health)
5301 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-6101
DR. SANDRA B CADICHON MD
Pediatrics (Neonatal-Perinatal Medicine)
5301 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3327
JASON MICHAEL HOGARTH CRNA
Nurse Anesthetist, Certified Registered
5301 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3456
ALEXANDRA STROIA DO
Student in an Organized Health Care Education/Training Program
5301 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3456
BLAKE MALCOLM ELY PA-C
Physician Assistant
5301 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (248) 697-1548
AARON MARAUGHA CRNA
Nurse Anesthetist, Certified Registered
5301 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3456
CHARMAINE R GREGORY M.D.
Emergency Medicine
5301 MCAULEY DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samir Dacosta's NPI number?

The NPI number for Samir Dacosta is 1083240923. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Samir Dacosta located?

Samir Dacosta practices at 5301 Mcauley Dr, Ypsilanti, MI 48197. The listed phone number is (734) 712-3456.

What is Samir Dacosta's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Samir Dacosta enrolled in Medicare?

Yes. Samir Dacosta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samir Dacosta affiliated with any hospitals?

According to CMS data, Samir Dacosta is affiliated with St Joe Mercy Hospital System Livonia, Trinity Health Ann Arbor Hospital and Chelsea Hospital.

When was this NPI record last updated?

The NPPES record for Samir Dacosta was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.