Dr. Kristin L. Desimone, M.D.
Family Medicine in Philadelphia, PA. Individual provider (NPI-1).
NPI number1477586501
StatusActive
Last updated in NPPESMar 13, 2014
Details
- NPI
- 1477586501
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kristin L. Desimone
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2006
- Last updated
- Mar 13, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD-067102-L | PA | Yes |
| 207V00000X | Obstetrics & Gynecology | MD-067102-L | PA |
Practice location
833 Chestnut StSuite 301
Philadelphia, PA 19107-4414
Phone 215-955-7190 · Fax 215-923-9186
Mailing address
833 Chestnut StSuite 301
Philadelphia, PA 19107-4414
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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