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NPI · 1417238015 · NPPES-sourced

Revitalize LLC

ActiveInternal Medicine
NPI Number
1417238015
Type 2 · Organisation
Taxonomy Code
207R00000X
Contact
(301) 330-9430
License MD · D0050126
Last Updated
Enumerated
Primary practice addressMD · 20850-3234
15235 Shady Grove Rd, Suite 102Rockville, MD 20850-3234
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About this NPIWhat this record shows.

NPI 1417238015 is registered to Revitalize LLC, a healthcare organisation classified as "Internal Medicine" and located at 15235 Shady Grove Rd, Suite 102 in Rockville, Maryland. The organisation's authorised official is Norton Fishman. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Revitalize LLC accepts. To confirm in-network status with your specific health plan, contact Revitalize LLC directly at (301) 330-9430.

Frequently asked

Yes. NPI 1417238015 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Internal Medicine physicians (internists) specialise in the prevention, diagnosis, and treatment of diseases in adults, often coordinating care across multiple subspecialties.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (301) 330-9430.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Revitalize LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207R00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
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