1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Pain Medicine
  6. NPI Profile

REVIVE MD PLLC
NPI 1346832953
Pain Medicine - Interventional Pain Medicine in Saint Paul, MN

Active since February 04, 2021
821 RAYMOND AVE STE 230, SAINT PAUL, MN 55114(651) 746-4412 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Revive Md Pllc NPPES

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

REVIVE MD PLLC (NPI 1346832953) is a healthcare organization registered as an interventional pain medicine in Saint Paul, Minnesota and active in the NPI registry since February 2021. The organization lists Alfonso Morales, Owner, as its authorized official.

NPPES Registry Identity

NPI1346832953
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameREVIVE MD PLLC
Location Address821 RAYMOND AVE STE 230Saint Paul, MN 55114-1503
Mailing Address7595 Currell Blvd Unit 25404Woodbury, MN 55125-2569 · (612) 730-5196 · Fax (651) 647-1647
Phone(651) 746-4412
Organization SubpartNo
Authorized OfficialAlfonso MoralesOwner · (651) 476-4412
Enumeration DateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1346832953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
821 RAYMOND AVE STE 230, Saint Paul, MN 55114
Open in Google Maps ↗

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 3

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

CENTRAL MEDICAL WELLNESS & REGENERATION
Clinic/Center (Pain)
821 RAYMOND AVE STE 230
SAINT PAUL, MN 55114
Ramsey County (651) 644-6002
CENTRAL MEDICAL WELLNESS INC
Pain Medicine (Pain Medicine)
821 RAYMOND AVE STE 230
SAINT PAUL, MN 55114
Ramsey County (651) 746-4412
DR. ALFONSO MORALES-UTRILLA JR. M.D.
Family Medicine
821 RAYMOND AVE STE 230
SAINT PAUL, MN 55114
Ramsey County (651) 644-6002

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 MD PLLC's NPI number?

The NPI number for Revive MD PLLC is 1346832953. It was assigned to this organization in the NPPES registry on February 4, 2021.

Where is Revive MD PLLC located?

Revive MD PLLC is located at 821 Raymond Ave Ste 230, Saint Paul, MN 55114. The listed phone number is (651) 746-4412.

What is Revive MD PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Revive MD PLLC was last updated on February 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.