Active NPI
Kevin James Disilvestro, MD
- Orthopaedic Surgery of the Spine Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 1018623
- Practice address
- 123 Summer St Ste 520
Worcester, MA 01608-1216 - Phone
- (508) 363-6363
- Fax
- (508) 363-6366
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD18292 | RI | |
| Orthopaedic Surgery Physician | 207X00000X | 321744 | NY | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 1018623 | MA | Primary |
Addresses
Primary practice location
123 Summer St Ste 520
Worcester, MA 01608-1216
Mailing address
123 Summer St Ste 520
Worcester, MA 01608-1216
Phone (508) 363-6363
Other practice location 1
2 Dudley St Ste 200
Providence, RI 02905-3248
Phone (401) 443-4205
Other practice location 2
535 E 70th St
New York, NY 10021-4898
Phone (212) 606-1000
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdisilvestro59136@direct.HSS.edu | Direct | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ | Direct | |
| FHIR URL | https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Orthopedic Surgery
- Education
- University of Maryland School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
Hospital & facility affiliations
- Metrowest Homecare and Hospice, an Amedisys Company
- St Vincent Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 83.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 52 |
| Laminectomy or laminotomy (partial removal of spine bones) | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321744 | NY | MD | Orthopaedic Surgery Physician |
| 1018623 | MA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Vincent Physician Services, Inc. | Current | Accepting new patients |
Locations
123 Summer St
Ste 520
Worcester, MA 01608
Phone (508) 363-6361
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
Interoperability endpoints
- kdisilvestro59136@direct.hss.edu
- kevin.disilvestro.1@626.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1679003263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SUMMER ST STE 520",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6363",
"fax_number": "508-363-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST STE 520",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6363",
"fax_number": "508-363-6366"
}
],
"practiceLocations": [
{
"address_1": "2 Dudley St Ste 200",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029053248",
"country_code": "US",
"telephone_number": "401-443-4205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 E 70th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100214898",
"country_code": "US",
"telephone_number": "212-606-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DISILVESTRO",
"first_name": "KEVIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "RI",
"license": "MD18292",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "321744",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MA",
"license": "1018623",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdisilvestro59136@direct.HSS.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214898",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214898",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "535 E 70th St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100214898",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.