Organization Active NPI

Dr Revelyn G Arrogante MD a Professional Corporation

  • Physical Medicine & Rehabilitation Physician
  • Johnstown, CO
National Provider Identifier
1013157189
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DR REVELYN G ARROGANTE MD A PROFESSIONAL CORPORATION
Practice address
4401 Union St
Johnstown, CO 80534-2800
Phone
(970) 619-3400
Fax
(970) 278-9341
NPI assigned
Mar 2, 2009
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Revelyn G Arrogante, MDNPI 1922172600
Title
President
Phone
(310) 999-9864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X CO Primary

Addresses

Primary practice location

4401 Union St
Johnstown, CO 80534-2800

Mailing address

1437 Denver Ave
#128
Loveland, CO 80538-5226
Phone (303) 761-1215

Other identifiers 2

IdentifierTypeStateIssuer
20322089MedicaidCO
133993100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000252 CO Part B Supplier - Clinic/Group Practice 4981752599 Receives reassigned benefits from 2 practitioners
Practice locations: Johnstown, CO

National Provider Directory

National Provider Directory

Locations

340 W East Ave
Chico, CA 95926
Phone (530) 332-6138

1437 Denver Ave
Loveland, CO 80538
Phone (970) 829-1968

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1013157189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 DENVER AVE",
            "address_2": "#128",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385226",
            "telephone_number": "303-761-1215",
            "fax_number": "303-762-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 UNION ST",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342800",
            "telephone_number": "970-619-3400",
            "fax_number": "970-278-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR REVELYN G ARROGANTE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "ARROGANTE",
        "authorized_official_first_name": "REVELYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-999-9864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20322089",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133993100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.