KYLE DESTEFANO MD
NPI 1891498044
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since March 27, 2023PECOS Enrolled
200 LOTHROP ST, PITTSBURGH, PA 15213(412) 647-2345 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 31, 2025, Apr 15, 2023, Mar 27, 2023 (3 updates tracked since 2023).

About Kyle Destefano Md NPPES

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

KYLE DESTEFANO MD (NPI 1891498044) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1891498044
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE DESTEFANOCredential: MD
Location Address200 LOTHROP STPittsburgh, PA 15213-2582
Mailing Address200 Lothrop StPittsburgh, PA 15213-2582 · (412) 647-2345
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateDecember 31, 20253 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
NPI 1891498044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 LOTHROP ST, Pittsburgh, PA 15213

Secondary Practice Location 1

Location 1801 Ostrum StBethlehem, PA 18015-1000 · Phone (484) 526-0433 · Fax (833) 828-1813

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyle Destefano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
200 LOTHROP ST
PITTSBURGH, PA 15213
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213

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 Kyle Destefano's NPI number?

The NPI number for Kyle Destefano is 1891498044. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Kyle Destefano located?

Kyle Destefano practices at 200 Lothrop St, Pittsburgh, PA 15213. The listed phone number is (412) 647-2345.

What is Kyle Destefano's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyle Destefano enrolled in Medicare?

Yes. Kyle Destefano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Destefano was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.