REVITALIZE MEDICAL CENTER LLC
NPI 1467934414
Pain Medicine - Interventional Pain Medicine in Glenview, IL

Q: What is Revitalize Medical Center LLC's NPI number?

The NPI number for Revitalize Medical Center LLC is 1467934414. It was assigned to this organization in the NPPES registry on September 5, 2018.

Q: What is Revitalize Medical Center LLC's specialty?

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

Active since September 05, 2018

2550 COMPASS RD UNIT AB, GLENVIEW, IL 60026(847) 834-4018(847) 834-4944 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2019, Sep 5, 2018 (2 updates tracked since 2018).

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About Revitalize Medical Center Llc NPPES

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

REVITALIZE MEDICAL CENTER LLC (NPI 1467934414) is a healthcare organization registered as an interventional pain medicine in Glenview, Illinois and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Evanston and lists Sheetal K Decaria, Owner, as its authorized official.

NPPES Registry Identity

NPI1467934414

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameREVITALIZE MEDICAL CENTER LLC

Location Address2550 COMPASS RD UNIT ABGlenview, IL 60026-1610

Mailing Address2550 Compass Rd Unit AbGlenview, IL 60026-1610 · (847) 834-4018 · Fax (847) 834-4944

Phone(847) 834-4018

Fax(847) 834-4944

Organization SubpartNo

Authorized OfficialSheetal K DecariaOwner · (847) 834-4018

Enumeration DateSeptember 5, 2018

Last NPPES UpdateSeptember 20, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2023

✔ NPI 1467934414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2550 COMPASS RD UNIT AB, Glenview, IL 60026

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Secondary Practice Location 1

Location 1355 Ridge AveEvanston, IL 60202-3328 · Phone (847) 834-4018

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revitalize Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revitalize Medical Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sheetal Decaria, MD

Anesthesiology

NPI 1649569534

2550 COMPASS RD UNIT AB
Glenview, IL 60026

(847) 834-4018

✔ PECOS✔ Accepts MedicareSame address

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 Revitalize Medical Center LLC's NPI number?

The NPI number for Revitalize Medical Center LLC is 1467934414. It was assigned to this organization in the NPPES registry on September 5, 2018.

Where is Revitalize Medical Center LLC located?

Revitalize Medical Center LLC is located at 2550 Compass Rd Unit Ab, Glenview, IL 60026. The listed phone number is (847) 834-4018.

What is Revitalize Medical Center LLC's specialty?

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

Is Revitalize Medical Center LLC enrolled in Medicare?

Yes. Revitalize Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revitalize Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Revitalize Medical Center LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revitalize Medical Center LLC was last updated on September 20, 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.