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

Thomas John Revak, DO

Individual provider Orthopaedic Surgery Physician · NPI 1023306859

Thomas John Revak, DO is an Orthopedic Surgery in Saint Louis, Missouri. Qualified in 2006, 20 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Pennsylvania.

Years since qualifying
20
Licensed in
MO, PA
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.

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Practice location Address checks out

1008 S Spring Avenue Orthopaedic Surgery Slucare Administrative Pavillion F
Saint Louis, MO 63110-2539
Phone: (314) 977-5350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3635 Vista Ave, Saint Louis, MO 63110-2539 — (314) 577-8850

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2015015073 (MO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence OT014391 (PA)

Record details

NPI number1023306859
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 13, 2011
Last updated in NPPESMarch 1, 2021
Certification dateFebruary 10, 2021

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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