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

Khortnal Delvecchio

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578989224

Khortnal Delvecchio is a General Surgery in Detroit, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2014, 12 years ago. Practices with Community Hospital Family Practice LLC, a 44-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
FL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

6701 W Outer Dr # M501
Detroit, MI 48235
Phone: (313) 966-1941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS18070 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578989224
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 5, 2014
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Community Hospital Family Practice Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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