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RISHAB REVANKAR
NPI 1053193581
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since October 18, 2023PECOS Enrolled
1215 LEE ST BOX 800718, CHARLOTTESVILLE, VA 22908(336) 688-7749 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2025, Oct 18, 2023 (2 updates tracked since 2023).

About Rishab Revankar NPPES

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

RISHAB REVANKAR (NPI 1053193581) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053193581
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRISHAB REVANKAR
Location Address1215 LEE ST BOX 800718Charlottesville, VA 22908-0001
Mailing Address1215 Lee St Box 800718Charlottesville, VA 22908-0001 · (336) 688-7749
Phone(336) 688-7749
Sole ProprietorNo
Enumeration DateOctober 18, 2023
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1053193581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1215 LEE ST BOX 800718, Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rishab Revankar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHRYN MARY ELIZABETH TAYLOR MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800718
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
MARGARET ANN KREHER MD
Student in an Organized Health Care Education/Training Program
1215 LEE ST BOX 800718
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115

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 Rishab Revankar's NPI number?

The NPI number for Rishab Revankar is 1053193581. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Where is Rishab Revankar located?

Rishab Revankar practices at 1215 Lee St Box 800718, Charlottesville, VA 22908. The listed phone number is (336) 688-7749.

What is Rishab Revankar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rishab Revankar enrolled in Medicare?

Yes. Rishab Revankar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rishab Revankar was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.