Active NPIIndividual providerSole proprietor

Dr. Kevin J Disilvestro, MD

Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Worcester, Massachusetts

NPI Number1679003263
Practice location
123 Summer St Ste 520, Worcester, MA 01608-1216
Fax
508-363-6366
Last updated
May 19, 2025

Kevin James Disilvestro is an Orthopaedic Surgery, Orthopaedic Surgery of the Spine based in Worcester, MA. Kevin James Disilvestro practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Kevin James Disilvestro is 1679003263 and holds a License No. MD18292 (RI). The current practice location address for Kevin James Disilvestro is 123 Summer St Ste 520, Worcester, MA 01608-1216 and can be reached out via phone at 508-363-6363 and via fax at 508-363-6366.

Provider Profile Details

NPI Number
1679003263
Provider Name
Kevin James Disilvestro
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Summer St Ste 520, Worcester, MA 01608-1216
Phone Number
508-363-6363
Fax Number
508-363-6366
Sole Proprietor
Yes
Provider Enumeration Date
June 15, 2017
Last Update Date
May 19, 2025
Certification Date
May 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Summer St Ste 520
Worcester, MA 01608-1216
Zip
01608-1216
Phone Number
508-363-6363
Fax Number
508-363-6366
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
123 Summer St Ste 520
Worcester, MA 01608-1216
City
Worcester
State
MA
Zip
01608-1216
Phone Number
508-363-6363
Fax Number
508-363-6366

License Information

License Number (1)
MD18292
License State (1)
RI
Taxonomy (1)
Orthopaedic Surgery · 207X00000X
License Number (2)
321744
License State (2)
NY
Taxonomy (2)
Orthopaedic Surgery · 207X00000X
License Number (3)
1018623
License State (3)
MA
Taxonomy (3)
Orthopaedic Surgery, Orthopaedic Surgery of the Spine · 207XS0117X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kevin J Disilvestro, MD?

The NPI number of Dr. Kevin J Disilvestro, MD is 1679003263. It was assigned on June 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin J Disilvestro, MD?

Dr. Kevin J Disilvestro, MD is registered under the primary taxonomy Orthopaedic Surgery, Orthopaedic Surgery of the Spine (code 207XS0117X), licensed in RI under license number MD18292.

Where does Dr. Kevin J Disilvestro, MD practice?

The practice location is 123 Summer St Ste 520, Worcester, MA 01608-1216. The office can be reached at 508-363-6363 (phone) or 508-363-6366 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679003263 directly on the NPPES registry website.

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