MEDICARE: KENNETH ACCOUSTI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	0101239836	VA

General Provider Information

NPI Number	:	1316998586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH ACCOUSTI M.D.

Provider Business Mailing Address
First Line	:	1340 CENTRAL PARK BLVD STE 100
Second Line	:
City	:	FREDERICKSBRG
State	:	VA
Zip	:	22401-4940
Country	:	US
Telephone Number	:	540-741-4257
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 FALL HILL AVE
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-3000
Country	:	US
Telephone Number	:	540-373-4602
Fax Number	:	540-372-4232

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	01/29/2026

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