Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew Joel Revelle, DO

Individual provider Obesity Medicine (Internal Medicine) Physician · NPI 1528314275

Dr. Andrew Joel Revelle, DO is an Internal Medicine in Osage Beach, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2012, 14 years ago. Practices with Lake Regional Health System, a 131-clinician group and accepts Medicare assignment. Licensed in Missouri and West Virginia.

Years since qualifying
14
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MO, WV
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone: (573) 302-2287
Fax: (573) 302-2241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2015013067 (MO)
Obesity Medicine (Internal Medicine) Physician Taxonomy 207RB0002X · Licence ED0312A (WV)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2015013067 (MO)

Record details

NPI number1528314275
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 31, 2012
Last updated in NPPESJune 27, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2012 (14 years in practice)
Group practice Lake Regional Health System — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount