Organization
REVERENT MEDICAL GROUP INC
Active
Organization
REVERENT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETROS AYELE MD (CO OWNER)
(202) 821-3040
Entity
Organization
Contact information
Practice address
623 EMANCIPATION HWY STE 101, FREDERICKSBURG, VA 22401-4437
(800) 452-5574
(540) 940-6249
Mailing address
623 EMANCIPATION HWY STE 101, FREDERICKSBURG, VA 22401-4437
(800) 452-5574
(540) 940-6249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/12/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up