Individual provider Active NPI

Cesar Arthro Ravelo, M.D.

  • Emergency Medicine Physician
  • Selma, AL
National Provider Identifier
1710945514
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00018473 Issued in AL
Practice address
1015 Medical Center Pkwy
Selma, AL 36701-6748
Phone
(334) 270-9793
NPI assigned
May 2, 2006
Last updated
Jul 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00018473 AL Primary

Addresses

Primary practice location

1015 Medical Center Pkwy
Selma, AL 36701-6748

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other identifiers 1

IdentifierTypeStateIssuer
051552608MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20031229000268 AL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 2961300066 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018473ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Mar 31, 2013 Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Apr 1, 2012 Accepting new patients
Southern Alabama Physicians LLP Emergency Medicine Current Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Apr 8, 2015 Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Andalusia Emergency Physicians, LLC Emergency Medicine Past Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6907

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

75 Remit Dr
Chicago, IL 60675

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1710945514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016748",
            "telephone_number": "334-270-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVELO",
        "first_name": "CESAR",
        "middle_name": "ARTHRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00018473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051552608",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.