OrganizationActive
Revere Anesthesiology LLC
NPI 1912137712 · Anesthesiology Physician · Festus, MO
Revere Anesthesiology LLC is a Anesthesiology Physician organization in Festus, MO (NPI 1912137712).
Provider details
- NPI number
- 1912137712
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rodolfo Maceren, President(636) 933-6569
- License
- R6445 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 W Gannon Dr
Festus, MO 63028-2602
Phone: (636) 931-5997
Street-level locationGet directions
Mailing address
2 Howe Xing
Festus, MO 63028-4044
Registry dates
- Enumerated
- 2009-07-15
- Last updated
- 2009-07-15
Frequently asked questions
- What is Revere Anesthesiology LLC's NPI number?
- Revere Anesthesiology LLC's National Provider Identifier (NPI) is 1912137712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revere Anesthesiology LLC?
- Revere Anesthesiology LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Revere Anesthesiology LLC located?
- Revere Anesthesiology LLC's practice location on file with NPPES is 1101 W Gannon Dr, Festus, MO 63028-2602.
- What is Revere Anesthesiology LLC's phone number?
- The practice phone number listed in the NPPES registry for Revere Anesthesiology LLC is (636) 931-5997.
- Who is the authorized official for Revere Anesthesiology LLC?
- The authorized official listed on Revere Anesthesiology LLC's NPPES record is Rodolfo Maceren, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revere Anesthesiology LLC's NPI active?
- Yes — Revere Anesthesiology LLC's NPI (1912137712) is active in the NPPES registry as of the last update on 2009-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.