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DR. ANNETTE O REVAK M.D.
NPI 1356339808
Anesthesiology in Dallas, TX

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
82.37/100
CMS Quality Rating
12222 MERIT DR STE 600, DALLAS, TX 75251(972) 715-5000(972) 715-9976 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Annette O Revak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANNETTE O REVAK M.D. (NPI 1356339808) is an individual anesthesiology provider in Dallas, Texas, licensed in Texas (V1870) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356339808
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. ANNETTE O REVAKCredential: M.D.
Location Address12222 MERIT DR STE 600Dallas, TX 75251-3294
Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 233-1999 · Fax (972) 233-3666
Phone(972) 715-5000
Fax(972) 715-9976
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 10, 2005
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1356339808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in TX · V1870✔ Licensed in AZ · 34261
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
12222 MERIT DR STE 600, Dallas, TX 75251
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Other Names 1

Former Name (1)Annette Ortegon M.d.

Secondary Practice Locations 2

Location 13390 N Campbell Ave, STE 110Tucson, AZ 85719-2380 · Phone (520) 795-7650 · Fax (520) 325-1622
Location 22400 S Avenue AYuma, AZ 85364-7170 · Phone (928) 344-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Annette O Revak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113950965
PECOS Enrollment IDI20250106002997
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
12 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Baylor Medical Center At Trophy Club

Acute Care Hospitals · Trophy Club, TX
OwnershipProprietary
CMS Certification Number450883
Location2850 E State Highway 114Trophy Club, TX 76262 · Denton County
Emergency services

Texas Health Harris Methodist Hospital Southlake

Acute Care Hospitals · Southlake, TX
OwnershipGovernment - State
CMS Certification Number450888
Location1545 E Southlake BlvdSouthlake, TX 76092 · Tarrant County
Emergency services

North Central Surgical Center LLP

Acute Care Hospitals · Dallas, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670049
Location9301 North Central Expressway Suite 100Dallas, TX 75231 · Dallas County
Emergency services

Legent Orthopedic Hospital

Acute Care Hospitals · Carrollton, TX
OwnershipProprietary
CMS Certification Number670265
Location1401 E Trinity Mills RoadCarrollton, TX 75006 · Dallas County

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.57
Promoting Interoperability100
Improvement Activities40
Cost57.66

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHARITY CABRERA MAGCALAS CRNA
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
DR. ELVIS TSANG MD
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
BINU RAJAN ABRAHAM MD
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
LAUREN CARTER SEGERSON CRNA
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
ABIGAIL PINTO WOOD CRNA
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
HANNAH NEIPP MURDOCK CRNA
Nurse Anesthetist, Certified Registered
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
THOMAS ADAMS MD
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000
DR. JOHN GERARD BAERENSTECHER M.D.
Anesthesiology
12222 MERIT DR STE 600
DALLAS, TX 75251
Dallas County (972) 715-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annette Revak's NPI number?

The NPI number for Annette Revak is 1356339808. It was assigned to this individual provider in the NPPES registry on October 10, 2005. The provider is also known as Annette Ortegon M.D..

Where is Annette Revak located?

Annette Revak practices at 12222 Merit Dr Ste 600, Dallas, TX 75251. The listed phone number is (972) 715-5000.

What is Annette Revak's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Annette Revak enrolled in Medicare?

Yes. Annette Revak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Annette Revak accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Annette Revak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Annette Revak affiliated with any hospitals?

According to CMS data, Annette Revak is affiliated with Medical City Dallas Hospital, Baylor Medical Center At Trophy Club, Texas Health Harris Methodist Hospital Southlake, North Central Surgical Center LLP and Legent Orthopedic Hospital.

When was this NPI record last updated?

The NPPES record for Annette Revak was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.