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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: November 01, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revolution Medicine Health & Fitness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Revolution Medicine Health & Fitness PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
Family Practice3
Internal Medicine1

Clinicians, nearest first (10)

Richele Corrado, D.O., M.P.H.
Internal Medicine
NPI 1285920728
1050 CONNECTICUT AVE NW STE 500
Washington, DC 20036
(202) 596-8891
✔ PECOS✔ Accepts MedicareSame address
Tiffany Dirickson-Ford, CRNP
Nurse Practitioner
NPI 1306472717
1050 CONNECTICUT AVE NW STE 500
Washington, DC 20036
(202) 596-8891
✔ PECOS✔ Accepts MedicareSame address
Michael Glickman, MD
Family Practice
NPI 1033559695
1050 CONNECTICUT AVE NW STE 500
Washington, DC 20036
(202) 596-8891
✔ PECOS✔ Accepts MedicareSame address
Renee Hadeed, NP
Nurse Practitioner
NPI 1114454196
1050 CONNECTICUT AVE NW STE 500
Washington, DC 20036
(202) 596-8891
✔ PECOS✔ Accepts MedicareSame address
Jewel Osborne-Wu, M.D.
Family Practice
NPI 1003175589
1050 CONNECTICUT AVE NW STE 500
Washington, DC 20036
(202) 596-8891
✔ PECOS✔ Accepts MedicareSame address
Amanda Pilone, NP
Nurse Practitioner
NPI 1417438193
1050 CONNECTICUT AVE NW STE 500
Washington, DC 20036
(202) 596-8891
✔ PECOS✔ Accepts MedicareSame address
Deirdra Tiffany, FNP
Nurse Practitioner
NPI 1255995692
2041 MARTIN LUTHER KING JR AVE SE STE 303
Washington, DC 20020
(202) 889-7900
✔ PECOS✔ Accepts Medicare3.8 mi
Garth Grey, FNP-C
Nurse Practitioner
NPI 1306428792
8401 CONNECTICUT AVE STE 200
Chevy Chase, MD 20815
(301) 304-8800
✔ PECOS✔ Accepts Medicare6.6 mi
Nicole Ferenc, NP
Nurse Practitioner
NPI 1073034849
160 KINGSLEY LN STE 405
Norfolk, VA 23505
(757) 321-3300
✔ PECOS✔ Accepts Medicare144 mi
Samantha Brand, M.D.
Family Practice
NPI 1437545340
999 WATERSIDE DR STE 2525
Norfolk, VA 23510
(202) 596-8891
✔ PECOS✔ Accepts Medicare148 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Revolution Medicine Health & Fitness PLLC enrolled in Medicare?

Yes. Revolution Medicine Health & Fitness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revolution Medicine Health & Fitness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Revolution Medicine Health & Fitness PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (3) and Internal Medicine (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 5 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.