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REVIVE MEDICINE LLC
NPI 1013618255
Family Medicine - Obesity Medicine in Fairfax, VA

Active since March 14, 2023
3998 FAIR RIDGE DR STE 270, FAIRFAX, VA 22033(571) 544-8110 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE MEDICINE LLC (NPI 1013618255) is a healthcare organization registered as an obesity medicine in Fairfax, Virginia and active in the NPI registry since March 2023. The organization lists Nancy Selim, Principal, as its authorized official.

NPPES Registry Identity

NPI1013618255
Entity TypeOrganization
Primary Taxonomy207QB0002X
Legal Business NameREVIVE MEDICINE LLC
Location Address3998 FAIR RIDGE DR STE 270Fairfax, VA 22033-2907
Mailing Address5423 Marlstone LnFairfax, VA 22030-5834 · (951) 741-7258
Phone(571) 544-8110
Organization SubpartNo
Authorized OfficialNancy SelimPrincipal · (951) 741-7258
Enumeration DateMarch 14, 2023
NPPES CertifiedMarch 14, 2023
✔ NPI 1013618255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QB0002X
Definition
A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
3998 FAIR RIDGE DR STE 270, Fairfax, VA 22033
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Medicine LLC's NPI number?

The NPI number for Revive Medicine LLC is 1013618255. It was assigned to this organization in the NPPES registry on March 14, 2023.

Where is Revive Medicine LLC located?

Revive Medicine LLC is located at 3998 Fair Ridge Dr Ste 270, Fairfax, VA 22033. The listed phone number is (571) 544-8110.

What is Revive Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

When was this NPI record last updated?

The NPPES record for Revive Medicine LLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.