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

Kevin Michael Gentile, DO

Individual provider Emergency Medicine Physician · NPI 1962610618

Kevin Michael Gentile, DO is an Emergency Medicine in Waterbury, Connecticut. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2005, 21 years ago. Practices with State of Connecticut, a 267-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
21
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
CT
In the registry since
2007
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

64 Robbins St
Waterbury, CT 06708-2613
Phone: (203) 573-6205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 047604 (CT)

Record details

NPI number1962610618
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESJune 1, 2012
Mailing address140 Griswold Drive, West Hartford, CT 06119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2005 (21 years in practice)
Group practice State Of Connecticut — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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