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REVOLUTION MEDICINE HEALTH & FITNESS PLLC
NPI 1245887959
Family Medicine in Washington, DC

Active since August 19, 2019
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036(202) 596-8891(304) 245-6029 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 19, 2026, Dec 9, 2019, Sep 25, 2019 and 1 more (4 updates tracked since 2019).

About Revolution Medicine Health & Fitness Pllc NPPES

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

REVOLUTION MEDICINE HEALTH & FITNESS PLLC (NPI 1245887959) is a healthcare organization registered as a family medicine in Washington, District Of Columbia and active in the NPI registry since August 2019. The organization lists Michael L Glickman, Physician, as its authorized official.

NPPES Registry Identity

NPI1245887959
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREVOLUTION MEDICINE HEALTH & FITNESS PLLC
Location Address1050 CONNECTICUT AVE NW STE 500Washington, DC 20036-5304
Mailing Address1050 Connecticut Ave Nw Ste 500Washington, DC 20036-5304 · (202) 596-8891 · Fax (304) 245-6029
Phone(202) 596-8891
Fax(304) 245-6029
Organization SubpartNo
Authorized OfficialMichael L GlickmanPhysician · (202) 596-8891
Enumeration DateAugust 19, 2019
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1245887959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
1050 CONNECTICUT AVE NW STE 500, Washington, DC 20036
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. JEWEL BYNOE OSBORNE-WU M.D.
Family Medicine
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (202) 596-8891
SADE AJANAY HAWKINS
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560
UMM-E-FARWA JAFRI
Behavior Analyst
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (732) 515-3709
DANIELLE CARLOS
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (866) 586-4861
ELIJAH DARNELL JAMISON
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560
TAMARA ELIZABETH JOYNER
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560
ICESIS THOMPSON
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560
DAEJA MURPHY
Behavior Technician
1050 CONNECTICUT AVE NW STE 500
WASHINGTON, DC 20036
District of Columbia (833) 599-2560

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 Revolution Medicine Health & Fitness PLLC's NPI number?

The NPI number for Revolution Medicine Health & Fitness PLLC is 1245887959. It was assigned to this organization in the NPPES registry on August 19, 2019.

Where is Revolution Medicine Health & Fitness PLLC located?

Revolution Medicine Health & Fitness PLLC is located at 1050 Connecticut Ave NW Ste 500, Washington, DC 20036. The listed phone number is (202) 596-8891.

What is Revolution Medicine Health & Fitness PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Revolution Medicine Health & Fitness PLLC was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.