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

Dr. Nicolas Joseph Revelt, MD

Individual provider Orthopaedic Surgery Physician · NPI 1336878867

Dr. Nicolas Joseph Revelt, MD is an Orthopaedic Surgery Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 N 1st St
Springfield, IL 62702-3757
Phone: (217) 545-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 125080666 (IL)

Record details

NPI number1336878867
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2022
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

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