Individual provider Active NPI

Alana Marie Revoal, D.O.

  • Obstetrics & Gynecology Physician
  • Greenwood Village, CO
National Provider Identifier
1447483581
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0049345 Issued in CO
Practice address
5800 S Quebec St
Greenwood Village, CO 80111-2004
Phone
(720) 334-7741
Fax
(303) 835-7202
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR.0049345 CO Primary

Addresses

Primary practice location

5800 S Quebec St
Greenwood Village, CO 80111-2004

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 441-0587

Other practice location 1

4745 Arapahoe Ave
Suite 320
Boulder, CO 80303-1080
Phone (303) 441-0587

Other practice location 2

777 Bannock St
Denver, CO 80204-4597
Phone (303) 436-4949

Other identifiers 1

IdentifierTypeStateIssuer
98729837MedicaidCO

Other names 1

  • Alana M Jadomski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000403 CO Practitioner - Obstetrics/Gynecology 2163607664 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Oct 25, 2024 Accepting new patients
Prowers County Hospital District CurrentSince Oct 28, 2023 Accepting new patients
Southwest Health System, Inc. CurrentSince Aug 12, 2023 Accepting new patients
Southwest Health System Inc Obstetrics & Gynecology Current Accepting new patients
Southwest Health System, Inc. Current Accepting new patients
Southwest Health System, Inc. CurrentSince Aug 12, 2023 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 25, 2024 Accepting new patients
Banner Greeley Specialists Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Boulder Community Health Past Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

777 Bannock St
#1923
Denver, CO 80204
Phone (303) 602-2720

777 Bannock St
Ste MC3450
Denver, CO 80204

777 Bannock St
Denver, CO 80204

403 Kendall Dr
Lamar, CO 81052
Phone (719) 336-6767

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

Interoperability endpoints

  • Direct secure messaging: arevoal302111@direct.dhha.org
  • Direct secure messaging: kwindels@bch.gwaydirect.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1447483581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-441-0587",
            "fax_number": "303-996-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 S QUEBEC ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112004",
            "telephone_number": "720-334-7741",
            "fax_number": "303-835-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 Arapahoe Ave",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803031080",
            "country_code": "US",
            "telephone_number": "303-441-0587",
            "fax_number": "303-996-0801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044597",
            "country_code": "US",
            "telephone_number": "303-436-4949",
            "fax_number": "303-602-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVOAL",
        "first_name": "ALANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0049345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98729837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALANA",
            "last_name": "JADOMSKI",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.