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REVIVO MEDICAL PA
NPI 1528955358
Internal Medicine in Dallas, TX

Active since June 23, 2025
9441 LYNDON B JOHNSON FWY STE 103B, DALLAS, TX 75243(469) 466-2251 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

NPI1528955358
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREVIVO MEDICAL PA
Location Address9441 LYNDON B JOHNSON FWY STE 103BDallas, TX 75243-4545
Mailing Address9441 Lyndon B Johnson Fwy Ste 103bDallas, TX 75243-4545 · (469) 466-2251
Phone(469) 466-2251
Organization SubpartNo
Authorized OfficialMichael K SchraderOwner · (469) 235-1263
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1528955358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse PractitionerTaxonomy 363L00000X
9441 LYNDON B JOHNSON FWY STE 103B, Dallas, TX 75243
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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

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.

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 14 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.