Neal Thomas Decosta, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

104301 Issued in MO

Practice address

520 S Elm Ave
Webster Groves, MO 63119-3845

Phone

(314) 962-3464

NPI assigned

Jan 12, 2006

Last updated

May 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South County Anesthesia Associates, LTD.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1821031659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1023097524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321419",
            "telephone_number": "561-939-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ELM AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193845",
            "telephone_number": "314-962-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTA",
        "first_name": "NEAL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "104301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206819716",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crews Dental LLC
• Jessica Dawn Crump, PLPC
• Peter McKnight Crump, DDS,MS
• Dale Kuhn Consulting LLC
• Mark Daniels, L.A.T., M.S., A.T.C.
• Anne Marie Delaplain, DDS
• Aimee Dempsey, RD
• Denise S Plaisance DCPC
• Diversified Counseling, LLC
• Janet Borino Dobbs, LPC

• Anesthesiology Physician in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.