REVIVO MEDICAL PA
NPI 1528955358
Internal Medicine in Dallas, TX
About Revivo Medical Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVO MEDICAL PA (NPI 1528955358) is a healthcare organization registered as an internal medicine in Dallas, Texas and active in the NPI registry since June 2025. The organization lists Michael K Schrader, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Revivo Medical 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 Revivo Medical PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Revivo Medical PA's NPI number?
The NPI number for Revivo Medical PA is 1528955358. It was assigned to this organization in the NPPES registry on June 23, 2025.
Where is Revivo Medical PA located?
Revivo Medical PA is located at 9441 Lyndon B Johnson Fwy Ste 103B, Dallas, TX 75243. The listed phone number is (469) 466-2251.
What is Revivo Medical PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Revivo Medical PA enrolled in Medicare?
Yes. Revivo Medical PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revivo Medical PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Revivo Medical 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 Revivo Medical PA was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Revivo Medical Pa · NPI 1528955358
Internal Medicine organization in Dallas, Texas. Organization record, active in the CMS NPPES registry since June 23, 2025.
## Identity
- **NPI:** 1528955358 (Entity type: Organization)
- **Enumerated:** June 23, 2025
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michael Schrader, OWNER
## Practice location
- **Address:** 9441 LYNDON B JOHNSON FWY STE 103B, Dallas, TX 75243-4545
- **Phone:** (469) 466-2251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528955358) · Data from the CMS NPPES public registry.