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DESILVA MEDICAL SERVICES LLC
NPI 1184757072
Internal Medicine - Adolescent Medicine in Hazelwood, MO

Active since March 13, 2007
6308 HAZELWEST CT, SUITE 200, HAZELWOOD, MO 63042(314) 731-5555(314) 731-5558 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desilva Medical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESILVA MEDICAL SERVICES LLC (NPI 1184757072) is a healthcare organization registered as an adolescent medicine in Hazelwood, Missouri and active in the NPI registry since March 2007. The organization lists Ananda Desilva, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1184757072
Entity TypeOrganization
Primary Taxonomy207RA0000X
Legal Business NameDESILVA MEDICAL SERVICES LLC
Location Address6308 HAZELWEST CT, SUITE 200Hazelwood, MO 63042-1739
Mailing Address6308 Hazelwest Ct, Suite 200Hazelwood, MO 63042-1739 · (314) 731-5555 · Fax (314) 731-5558
Phone(314) 731-5555
Fax(314) 731-5558
Organization SubpartNo
Authorized OfficialAnanda DesilvaPhysician Owner · (314) 731-5555
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184757072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in MO · R9845
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
6308 HAZELWEST CT, Hazelwood, MO 63042
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID LEVY OT, CHT
Occupational Therapist (Hand)
6308 HAZELWEST CT
HAZELWOOD, MO 63042
St. Louis County (314) 895-4664
NORTH COUNTY SPORTS FITNESS & REHABILITATION
Prosthetic/Orthotic Supplier
6308 HAZELWEST CT
HAZELWOOD, MO 63042
St. Louis County (314) 895-4664
MR. JAMES G. MCKEON P.T., ATC
Physical Therapist (Sports)
6308 HAZELWEST CT
HAZELWOOD, MO 63042
St. Louis County (314) 895-4664
MS. RIKKI GAULDIN PT
Physical Therapist (Sports)
6308 HAZELWEST CT
HAZELWOOD, MO 63042
St. Louis County (314) 895-4664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desilva Medical Services LLC's NPI number?

The NPI number for Desilva Medical Services LLC is 1184757072. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Desilva Medical Services LLC located?

Desilva Medical Services LLC is located at 6308 Hazelwest Ct Suite 200, Hazelwood, MO 63042. The listed phone number is (314) 731-5555.

What is Desilva Medical Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

When was this NPI record last updated?

The NPPES record for Desilva Medical Services LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.