Individual provider Active NPI

Alexis Joanna Disilvestro, MD

  • Maternal & Fetal Medicine Physician
  • Albany, NY
National Provider Identifier
1033439690
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
304024 Issued in NY
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

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200506002502 NY Practitioner - Obstetrics/Gynecology 6709027279 Reassigns benefits to 3 organizations

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
St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

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

OrganizationSpecialtyStatusNew patients
St. Peter'S Hospital of the City of Albany CurrentSince Jun 1, 2020 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Jun 11, 2023 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Sep 29, 2022 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Jun 1, 2020 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Maternal & Fetal Medicine PastSince Nov 17, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.