Individual provider Active NPI

Rodolfo Manuel Revilla

  • Gynecology Physician
  • El Paso, TX
National Provider Identifier
1477666279
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
J2462 Issued in TX
Practice address
1700 Curie Dr Ste 1500
El Paso, TX 79902-2980
Phone
(915) 532-9100
NPI assigned
Aug 16, 2006
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X J2462 TX Primary

Addresses

Primary practice location

1700 Curie Dr Ste 1500
El Paso, TX 79902-2980

Mailing address

1600 Medical Center Dr Ste 309
El Paso, TX 79902-5008
Phone (915) 532-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090331000032 TX Practitioner - Obstetrics/Gynecology 9537226923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1700 Curie Dr
Suite 1500
El Paso, TX 79902-2980
Phone (915) 532-4542

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc Obstetrics & Gynecology CurrentSince Nov 30, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 30, 2018 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

1600 Medical Center Dr
Ste 309
El Paso, TX 79902
Phone (915) 532-9100

1700 Curie Dr
Ste 1500
El Paso, TX 79902
Phone (915) 532-4542

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: rodolfo.revilla.1@1438.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1477666279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 309",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025008",
            "telephone_number": "915-532-9100",
            "fax_number": "915-532-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CURIE DR STE 1500",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022980",
            "telephone_number": "915-532-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVILLA",
        "first_name": "RODOLFO",
        "middle_name": "MANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-09-27",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.