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

Jonathan W Revels, DO

Individual provider Diagnostic Radiology Physician · NPI 1750674164

Jonathan W Revels, DO is a Diagnostic Radiology in Albuquerque, New Mexico. Graduated from Touro Un College of Osteopathic Medicine, Vallejo in 2012, 14 years ago. Practices with New York University, a 5,884-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Mexico and Washington.

Years since qualifying
14
Trained at
Touro Un College of Osteopathic Medicine, Vallejo
Licensed in
NM, WA
In the registry since
2011
Specialties on file
2
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

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-1476
Show map & directions

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

Additional practice locations (2)

  • 1959 Ne Pacific St, Seattle, WA 98195 — (206) 598-7200
  • 1959 Ne Pacific St, Seattle, WA 98195 — (206) 598-7200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OP60730003 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A-2207-19 (NM)

Record details

NPI number1750674164
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 17, 2011
Last updated in NPPESFebruary 22, 2019
Mailing addressPo Box 50095, Seattle, WA 98145-5095

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated 2012 (14 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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