Active NPI
Alexis Joanna Disilvestro, MD
- Maternal & Fetal Medicine Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 304024
- Practice address
- 400 Patroon Creek Blvd Ste 102
Albany, NY 12206-5015 - Phone
- (518) 445-4325
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 304024 | NY | Primary |
Addresses
Primary practice location
400 Patroon Creek Blvd Ste 102
Albany, NY 12206-5015
Mailing address
PO Box 14890
Albany, NY 12212-4890
Other practice location 1
2231 Burdett Ave Ste 160
Troy, NY 12180-2453
Phone (518) 326-1620
Other practice location 2
2231 Burdett Ave Ste 110
Troy, NY 12180-2447
Phone (518) 271-3900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Pennsylvania State University College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5014
Phone (518) 618-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Hospital of the City of Albany | Current | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Current | Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Current | Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Maternal & Fetal Medicine | Past | Accepting new patients |
| St. Peter'S Health Partners Medical Associates, P.C. | Past | Accepting new patients |
Locations
400 Patroon Creek Blvd
Ste 102
Albany, NY 12206
Phone (518) 445-4320
400 Patroon Creek Blvd
Ste 108
Albany, NY 12206
Phone (518) 445-4325
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
400 Patroon Creek Blvd
Ste 100
Albany, NY 12206
Phone (518) 445-4444
1240 New Scotland Rd
Ste 101
Slingerlands, NY 12159
Phone (518) 475-7000
2231 Burdett Ave
Ste 110
Troy, NY 12180
Phone (518) 271-3900
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
2231 Burdett Ave
Ste 160
Troy, NY 12180
Phone (518) 272-1333
Interoperability endpoints
- adisilvestro788973@direct.trinity-health.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
-
- Pediatrics Physician
- Slingerlands, NY
- NPI 1669717260
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1831811553
Maternal & Fetal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1033439690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PATROON CREEK BLVD STE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122065015",
"telephone_number": "518-445-4325"
}
],
"practiceLocations": [
{
"address_1": "2231 Burdett Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802453",
"country_code": "US",
"telephone_number": "518-326-1620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2231 Burdett Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802447",
"country_code": "US",
"telephone_number": "518-271-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DISILVESTRO",
"first_name": "ALEXIS",
"middle_name": "JOANNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NY",
"license": "304024",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "400 Patroon Creek Blvd Ste 102",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122065015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.