RODOLFO MANUEL REVILLA – Obstetrics & Gynecology Physician, NPI 1477666279
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,165 OBSTETRICS/GYNECOLOGY in TX
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Provider Addresses for RODOLFO MANUEL REVILLA
1600, Medical Center Street, El Paso, El Paso County, Texas, 79902, United States
SUITE 309
EL PASO, TX 79902
Phone: (915) 532-9100
Fax: (915) 532-9652
Type: Location
1600 MEDICAL CENTER DR STE 309
EL PASO, TX 799025008
Phone: (915) 532-9100
Fax: (915) 532-9652
Type: Mailing
1700 CURIE DR STE 1500
EL PASO, TX 799022980
Phone: (915) 532-9100
Type: Location
Drive, Faubourg de Cambrai, Valenciennes, Nord, Hauts-de-France, Metropolitan France, 59300, France
#309
EL PASO, TX 79902
Phone: (915) 532-9100
Fax: (915) 532-9652
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($100).
Total Amount
$117
General + Research + Ownership
Payments
2
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $100 |
| Smith+Nephew, Inc. | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090331000032 | I | Obstetrics/Gynecology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 21 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
Insurance plans in this area (ZIP 79902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Family Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NC |
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