Scott Revell, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

67567 Issued in AZ

Practice address

5880 N Hospital Dr.
Globe, AZ 85501

Phone

(284) 253-2169

NPI assigned

Apr 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Scott Revell Professional name

Medicare fee-for-service enrollment

Enrolled in AZ, LA2 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

Specialty

General Surgery

Education

Louisiana State University School of Medicine in New Orleans, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abbeville General HospitalGroup PAC ID 8325933872, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Abbeville General Hospital

  • Clinic/Center
  • Abbeville, LA
  • NPI 1285779363
  Medicare reassignment Care Compare group NPD
• Cobre Valley Regional Medical Center

  • Critical Access Hospital
  • Globe, AZ
  • NPI 1871566521
  Medicare reassignment NPD
• Cobre Valley Regional Medical Center

  • Rural Health Clinic/Center
  • Tonto Basin, AZ
  • NPI 1144799677

  Family Medicine

  NPD
• Cobre Valley Regional Medical Center

  • Community/Retail Pharmacy
  • Globe, AZ
  • NPI 1639384233
  NPD
• Abbeville General Hospital

  • Urgent Care Clinic/Center
  • Abbeville, LA
  • NPI 1619458247
  NPD

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

• Abbeville General Hospital

  • Rural Acute Care Hospital
  • Abbeville, LA
  • NPI 1255300414
  Care Compare affiliation

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1902339302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 QUAIL DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086125",
            "telephone_number": "337-501-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 N HOSPITAL DR.",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "85501",
            "telephone_number": "284-253-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELL",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-03-11",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "67567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "REVELL",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Micah David Pullins, D.O.
• Red Rock Healthcare LLC
• Red Rock Mobilecare, LLC
• Red Willow Counseling PLLC
• Jessica Nikita Revell, RDN, LDN
• Thomas Francis Rhodes, SURGICAL ASSISTANT
• David Aaron Richardson, MD
• Joseph John Ring II, DO
• Robert a Lewis
• Jesse Ray Robertson

• Surgery Physician in Globe, AZ
• Providers in Globe, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.