NPI 1679003263 · live from the CMS NPI Registry
Kevin James Disilvestro, MD
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Worcester, MA. National Provider Identifier 1679003263, active.
NPI record
| NPI | 1679003263 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X |
| Practice location | 123 Summer St Ste 520, Worcester, MA 01608 |
| Practice phone | 508-363-6363 |
| Enumerated | June 15, 2017 |
| Last updated | May 19, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | MD18292 (RI) |
| Orthopaedic Surgery | 207X00000X | 321744 (NY) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary | 207XS0117X | 1018623 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.