Theodore Dacosta, DO
NPI 1114420155 · Gastroenterology Physician · West Orange, NJ
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Dacosta, DO is a Gastroenterology Physician provider in West Orange, NJ (NPI 1114420155).
Provider details
- NPI number
- 1114420155
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 17 | 17 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 26 Mcchesney CtWest Orange, NJ 07052-1135Phone: (973) 699-3950
Registry dates
- Enumerated
- 2018-03-15
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Frequently asked questions
- What is Theodore Dacosta's NPI number?
- Theodore Dacosta's National Provider Identifier (NPI) is 1114420155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Dacosta's specialty?
- Theodore Dacosta is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Dacosta located?
- Theodore Dacosta's practice location on file with NPPES is 59 Main St Ste 1, West Orange, NJ 07052-5341.
- What is Theodore Dacosta's phone number?
- The practice phone number listed in the NPPES registry for Theodore Dacosta is (973) 674-8866.
- Does Theodore Dacosta accept Medicare?
- Theodore Dacosta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Dacosta's NPI active?
- Yes — Theodore Dacosta's NPI (1114420155) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.