MADAIAH REVANA MD PA
NPI 1477768141
Internal Medicine - Interventional Cardiology in Humble, TX

Active since May 14, 2007
9816 MEMORIAL BLVD, STE 107 STE 120 (TESTING), HUMBLE, TX 77338(281) 446-4638(281) 973-9454 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Jan 21, 2026, Aug 11, 2022 and 5 more (8 updates tracked since 2016).

About Madaiah Revana Md Pa NPPES

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

MADAIAH REVANA MD PA (NPI 1477768141), doing business as Humble Cardiology Associates & Pacemaker Clinic, is a healthcare organization registered as an interventional cardiology in Humble, Texas and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Humble and lists Madaiah Revana, Owner, as its authorized official.

NPPES Registry Identity

NPI1477768141
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameMADAIAH REVANA MD PA
Location Address9816 MEMORIAL BLVD, STE 107 STE 120 (TESTING)Humble, TX 77338-4205
Mailing Address9816 Memorial Blvd Ste 107, Suite 120 (testing)Humble, TX 77338-4205 · (281) 446-4638 · Fax (281) 973-9454
Fax(281) 973-9454
Organization SubpartNo
Authorized OfficialMadaiah RevanaOwner · (281) 446-4638
Enumeration DateMay 14, 2007
Last NPPES UpdateFebruary 3, 20268 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1477768141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X
9816 MEMORIAL BLVD, Humble, TX 77338

Other Names 2

Doing Business AsHumble Cardiology Associates & Pacemaker Clinic
Other NameMadaiah Revana Md

Secondary Practice Location 1

Location 19816 Memorial Blvd Ste 107, Suite 120 (testing)Humble, TX 77338-4205 · Phone (281) 446-4638 · Fax (281) 973-9454

Other Identifiers 4

Medicaid359911001TX
Other10016000TX · Amerigroup
Other390396TX · Wellcare
Other82G136TX · Bcbs

Group Practice 2

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

Madaiah Revana Md Pa 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 Madaiah Revana MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Cardiology
NPI 1013997360
9816 MEMORIAL BLVD STE 107
Humble, TX 77338
(281) 446-4638
✔ 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 Madaiah Revana MD PA's NPI number?

The NPI number for Madaiah Revana MD PA is 1477768141. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is doing business as Humble Cardiology Associates & Pacemaker Clinic. The provider is also known as Madaiah Revana MD.

Where is Madaiah Revana MD PA located?

Madaiah Revana MD PA is located at 9816 Memorial Blvd Ste 107 Ste 120 (testing), Humble, TX 77338. The listed phone number is (281) 446-4638.

What is Madaiah Revana MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Madaiah Revana MD PA enrolled in Medicare?

Yes. Madaiah Revana MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madaiah Revana MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Cardiology) reassigns their Medicare billing to Madaiah Revana MD PA. 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 Madaiah Revana MD PA was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.