Revive Clinic Llc

ActiveOrganizationSpecialty not listed
NPI issued: September 8, 2025

Quick Facts

NPI Number
1003797176
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy364SP0808X — Specialty not listed
Phone
(240) 744-0540
StateMD

NPI Validation Status: Verified

Valid 10-digit NPI number (1003797176)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 8, 2025)
Data source: CMS NPPES

Provider Overview

REVIVE CLINIC LLC is a Healthcare provider based in Columbia, MD who has been registered with CMS since 2025. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1003797176
Provider TypeOrganization
StatusActive
Enumeration DateSeptember 8, 2025

Practice Location

CityColumbia
StateMD
ZIP Code21044-3648
Phone(240) 744-0540

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code364SP0808X
License StateMD

Mailing Address

CityColumbia
StateMD
ZIP Code21044-3648
Phone(240) 744-0540
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1003797176 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1003797176for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1003797176 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
1,231
Specialty not listed Providers in the US

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People Also Ask

What is Revive Clinic Llc's NPI number?
Revive Clinic Llc's NPI number is 1003797176, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Revive Clinic Llc's NPI currently active?
Yes, Revive Clinic Llc's NPI status is Active as of the latest CMS NPPES database updates.
What does Revive Clinic Llc specialize in?
Revive Clinic Llc specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 364SP0808X.
Where does Revive Clinic Llc practice?
Revive Clinic Llc practices in Columbia, MD 21044-3648.
When was Revive Clinic Llc's NPI issued?
Revive Clinic Llc's NPI was issued on September 8, 2025.
What is Revive Clinic Llc's provider type?
Revive Clinic Llc is registered as an Organization under CMS NPI Type 2.