Individual provider Active NPI

Robert R Revers, M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • Salinas, CA
National Provider Identifier
1598762718
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G49775 Issued in CA
Practice address
355 Abbott St Ste 100
Salinas, CA 93901-4484
Phone
(831) 751-7070
Fax
(831) 751-7050
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G49775 CA Primary

Addresses

Primary practice location

355 Abbott St Ste 100
Salinas, CA 93901-4484

Mailing address

355 Abbott St Ste 100
Salinas, CA 93901-4484
Phone (831) 649-1000

Other identifiers 1

IdentifierTypeStateIssuer
00G497750OtherCATRICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080606000308 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 4486654928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Vermont College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

355 Abbott St
Suite 100
Salinas, CA 93901-4484
Phone (831) 751-7070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Los Palos Medical Associates, Inc Current Accepting new patients
Svmhs Clinics CurrentSince Oct 1, 2015 Accepting new patients
Svmhs Clinics CurrentSince Oct 1, 2015 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients

Locations

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

5 Lower Ragsdale Dr
Ste 100
Monterey, CA 93940
Phone (831) 624-3612

355 Abbott St
Ste 100
Salinas, CA 93901
Phone (831) 751-7070

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

Interoperability endpoints

  • Direct secure messaging: rrevers11646@direct.svmh.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1598762718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 ABBOTT ST STE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014484",
            "telephone_number": "831-649-1000",
            "fax_number": "831-649-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 ABBOTT ST STE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014484",
            "telephone_number": "831-751-7070",
            "fax_number": "831-751-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERS",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G49775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "00G497750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.