Individual provider Active NPI

Alfonso Arevalo, DO

  • Orthopaedic Surgery Physician
  • Paoli, PA
National Provider Identifier
1669912028
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS023199 Issued in PA
Practice address
255 W Lancaster Ave Ste 237
Paoli, PA 19301-1756
Phone
(484) 565-8080
Fax
(484) 565-8081
NPI assigned
Mar 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C2-0024299 DE
Orthopaedic Surgery Physician 207X00000X OS023199 PA Primary

Addresses

Primary practice location

255 W Lancaster Ave Ste 237
Paoli, PA 19301-1756

Mailing address

3803 W Chester Pike Ste 160
Newtown Square, PA 19073-2336
Phone (484) 565-8080

Other practice location 1

4923 Ogletown Stanton Rd Ste 300
Newark, DE 19713-2081
Phone (302) 655-9494

Other practice location 2

3401 Brandywine Pkwy
Wilmington, DE 19803-1554
Phone (302) 655-9494

Other practice location 3

1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413
Phone (302) 655-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20231002001139 DE Practitioner - Orthopedic Surgery 1557715166
I20251204003232 PA Practitioner - Orthopedic Surgery 1557715166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Suite 231
Paoli, PA 19301-1756
Phone (610) 560-8941

Hospital & facility affiliations

  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Bryn Mawr Rehabilitation Hospital Inpatient rehabilitation facility, Malvern, PA, CCN 393025

Merit-based Incentive Payment System (MIPS)

Final score
82.23 of 100Reported as group
Quality
76.62
Promoting interoperability
100
Improvement activities
30
Cost
76.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS023199PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Orthopaedic Surgery CurrentSince Dec 2, 2025 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

830 Old Lancaster Rd
Ste 209
Bryn Mawr, PA 19010
Phone (610) 525-1061

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

255 W Lancaster Ave
Ste 237
Paoli, PA 19301
Phone (484) 565-1212

255 W Lancaster Ave
Ste 231
Paoli, PA 19301
Phone (610) 560-8940

Interoperability endpoints

  • Direct secure messaging: aarevalo@direct.delortho.com

Organizations & group practices 1

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1669912028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 W CHESTER PIKE STE 160",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732336",
            "telephone_number": "484-565-8080",
            "fax_number": "484-565-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE STE 237",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011756",
            "telephone_number": "484-565-8080",
            "fax_number": "484-565-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4923 Ogletown Stanton Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132081",
            "country_code": "US",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Brandywine Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198031554",
            "country_code": "US",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Limestone Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085413",
            "country_code": "US",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "C2-0024299",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS023199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.