Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Michael Van Derveer, DO

Individual provider Surgery Physician · NPI 1245989854

Dr. Kevin Michael Van Derveer, DO is a Surgery Physician in Philadelphia, Pennsylvania. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2022.

Licensed in
NJ, PA
In the registry since
2022
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4190 City Ave
Philadelphia, PA 19131-1626
Phone: (215) 871-6730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 25MB12606300 (NJ)
Surgery Physician Taxonomy 208600000X · Licence OS025246 (PA)

Record details

NPI number1245989854
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2022
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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