Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samir David Dacosta

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083240923

Samir David Dacosta is an Anesthesiology in Ypsilanti, Michigan. Qualified in 2020, 6 years ago. Practices with Huron Gastroenterology Associates PC, a 95-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

5301 McAuley Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 125.075921 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083240923
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2020
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024
Mailing address251 E Huron St, Chicago, IL 60611-3055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Huron Gastroenterology Associates Pc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ypsilanti