Matthew Jacob Dacosta, PA-C
Individual provider Active NPI Physician Assistant · Westport, MA
NPI 1093201667 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1093201667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA7684 (MA)
- Practice address
- 827 American Legion Hwy
Westport, MA 02790-4128 - Phone
- (508) 636-5101
- Fax
- (508) 636-3651
- NPI assigned
- Jul 7, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southcoast Physicians Group Inc
Practice addresses (Care Compare)
534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766
Hospital & facility affiliations
- Southcoast Hospitals Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201108000008 | RI | Practitioner - Physician Assistant | 8527317676 | |
| I20240910000738 | MA | Practitioner - Physician Assistant | 8527317676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients | |
| Southcoast Physicians Group, Inc. | Current |
Accepting new patients |
Locations
200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
827 American Legion Hwy
Westport, MA 02790
Phone (508) 636-5100
Interoperability endpoints
- mdacosta20254@direct.southcoast.org
- matthew.dacosta.1@10.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA7684 | MA | Yes |
| Physician Assistant | 363A00000X | PA01269 | RI |
Addresses
Primary practice location
827 American Legion Hwy
Westport, MA 02790-4128
Mailing address
111 Franklin St Apt 2
Bristol, RI 02809-2327
Phone (508) 264-1979
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | matthew.dacosta.1@10.direct.athenahealth.com |
Other providers in Westport, MA
- Danielle M Costa
- Micaela Grace Costa
- Michelle Costa
- Kimberly Coyle
- CVS Pharmacy Inc
- Morgan J Dasilva
- David J Ahearn DDS,PC
- James Dayon
- David C Deitz
- Tanya Demello
All providers in Westport, MA · Physician Assistant in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.