Elson L Revak, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4272 Issued in AZ

Practice address

3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380

Phone

(520) 795-7650

Fax

(520) 325-1622

NPI assigned

Oct 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Afterglow Anesthesia PLLCGroup PAC ID 8022543370, 64 clinicians

Anesthesia Partners of Dallas PLLCGroup PAC ID 7810293438, 21 clinicians

NTX Anesthesiology Consultants PLLCGroup PAC ID 7416203773, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049
• Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888
• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
• Medical City Plano Hospital, Plano, TX, CCN 450651
• Legent Orthopedic Hospital Hospital, Grapevine, TX, CCN 670265

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 29)

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.

• Afterglow Anesthesia PLLC

  • Anesthesiology Physician
  • Mesquite, TX
  • NPI 1558180083
  Medicare reassignment Care Compare group NPD
• Anesthesia Partners of Dallas PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1760841969
  Medicare reassignment Care Compare group NPD
• NTX Anesthesiology Consultants PLLC

  • Anesthesiology Physician
  • Waxahachie, TX
  • NPI 1912410739
  Medicare reassignment Care Compare group NPD
• Sierra Vista Regional Health Center Medical Group LLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1043575483
  Medicare reassignment NPD
• Southern Arizona Anesthesia Services, PC

  • Anesthesiology Physician
  • Tucson, AZ
  • NPI 1912999343
  Medicare reassignment NPD
• Texas Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Southlake, TX
  • NPI 1144673468
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation
• Ethicus Hospital DFW LLC

  • General Acute Care Hospital
  • Carrollton, TX
  • NPI 1316505043
  Care Compare affiliation
• Ethicus Hospital DFW LLC

  • Long Term Care Hospital
  • Grapevine, TX
  • NPI 1659536944
  Care Compare affiliation
• Ethicus Hospital DFW, LLC

  • Rehabilitation Hospital Unit
  • Carrollton, TX
  • NPI 1356133615
  Care Compare affiliation
• North Central Surgical Center L.L.P.

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1548236524
  Care Compare affiliation
• Southlake Specialty Hospital, LLC

  • General Acute Care Hospital
  • Southlake, TX
  • NPI 1629064928
  Care Compare affiliation

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1306834981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 N CAMPBELL AVE",
            "address_2": "STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192380",
            "telephone_number": "520-795-7650",
            "fax_number": "520-325-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 N CAMPBELL AVE",
            "address_2": "STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192380",
            "telephone_number": "520-795-7650",
            "fax_number": "520-325-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVAK",
        "first_name": "ELSON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-08",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Reuter, CMSW
• David Michael Reuter, RPH
• Kurt Reuter, PT
• Rachael Mary Reuter, PT, DPT
• Carol Revak, NMD
• Jonathan Revel, LPC
• Candace Reveles, M.D.
• Vladyslav Revin, MD
• Kristen D Revis, PT
• Katherine Joanne Rewalt

• Anesthesiology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.