Shelley Revesz, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

H0097709 Issued in MD

Practice address

1460 Ritchie Hwy Ste 209
Arnold, MD 21012-2741

Phone

(410) 789-7337

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelley.revesz.1@7466.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7466/brand/1/csg/1/fhir/r4
• Direct secure messaging: srevesz15393@ukhcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arundel Pediatrics, PA

  • Pediatrics Physician
  • Arnold, MD
  • NPI 1265400113
  NPD

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1083175541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY STE 209",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122741",
            "telephone_number": "410-789-7337",
            "fax_number": "859-323-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 RITCHIE HWY STE 209",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122741",
            "telephone_number": "410-789-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVESZ",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KY",
            "license": "05223",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "H0097709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychotherapeutic Treatment Services, Inc.
• Sadaf Rahman, MD
• Laura J Reagan, LCSW-C
• Jenna Leigh Reich-Nobles, DPT
• Elizabeth Holmes Renaut, PT, LDN
• Brooke Ann Jobson Riffe, LCSW-C
• Melinda Riffle
• Riverside Pediatrics, P.a.
• Taylor Robinson, PA-C
• Jennifer M. Rocca-Sexton, PA-C

• Pediatrics Physician in Arnold, MD
• Providers in Arnold, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.