Matias M Dcosta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G75168 Issued in CA

Practice address

931 Hallock Ave
Port Jefferson Station, NY 11776-1228

Phone

(631) 331-7200

Fax

(631) 331-8636

NPI assigned

Apr 11, 2006

Last updated

Sep 11, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

State University of New York Downstate Medical Center, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Associates of Suffolk PCGroup PAC ID 1153211305, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matias.dcosta@gastroenterolgyassocofsuffolk.chartmakerdirect.com

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.

• Gastroenterology Associates of Suffolk, P.C.

  • Gastroenterology Physician
  • Port Jefferson Station, NY
  • NPI 1083745566
  Medicare reassignment Care Compare group NPD
• Central Brooklyn Medical Group PC

  dba PREFERRED HEALTH PARTNERS / AdvantageCare Physicians

  • Allergy Physician
  • New York, NY
  • NPI 1689627184

  Internal Medicine

  NPD (past)
• Professional Gastroenterology & Nutrition Associates, P.a.

  dba Advanced Gastroenterology & Surgery Associates

  • Gastroenterology Physician
  • Leesburg, FL
  • NPI 1215974498
  NPD (past)
• Tri County Professional Management, Inc

  • Gastroenterology Physician
  • Leesburg, FL
  • NPI 1649673872
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053374827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761228",
            "telephone_number": "631-331-7200",
            "fax_number": "631-331-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761228",
            "telephone_number": "631-331-7200",
            "fax_number": "631-331-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DCOSTA",
        "first_name": "MATIAS",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75168",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1764091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marsh Davis, MA CCC-A
• Milana Davydova
• Dawn Friedland-Perez, LCSW, P.C.
• Susan J Day
• Courtney Dayton, LMFT
• Deepkeep Group Incorporated
• Doreen Delaney, P.A.
• John Paul Delirio, PA-C
• Christianne Dellaratta, OPTICIAN
• Shannon Dawn Deluca, P.T.

• Internal Medicine Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.