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REVIVE PHYSICIAN WOUNDCARE SPECIALISTS PLLC
NPI 1649102237
Internal Medicine in Roseville, MI

Active since May 30, 2026
19551 E 10 MILE RD, ROSEVILLE, MI 48066(313) 717-8738 Get Directions Write a Review

NPPES record last updated: May 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Revive Physician Woundcare Specialists Pllc NPPES

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

REVIVE PHYSICIAN WOUNDCARE SPECIALISTS PLLC (NPI 1649102237) is a healthcare organization registered as an internal medicine in Roseville, Michigan and active in the NPI registry since May 2026. The organization lists Diana Elmasri, Admin, as its authorized official.

NPPES Registry Identity

NPI1649102237
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameREVIVE PHYSICIAN WOUNDCARE SPECIALISTS PLLC
Location Address19551 E 10 MILE RDRoseville, MI 48066-3998
Mailing Address19551 E 10 Mile RdRoseville, MI 48066-3998
Phone(313) 717-8738
Organization SubpartNo
Authorized OfficialDiana ElmasriAdmin · (248) 215-0048
Enumeration DateMay 30, 2026
NPPES CertifiedMay 30, 2026
✔ NPI 1649102237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
19551 E 10 MILE RD, Roseville, MI 48066
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Physician Woundcare Specialists Pllc 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 Revive Physician Woundcare Specialists PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ribhi Hazin, M.D.
Internal Medicine
NPI 1265747463
3611 CARPENTER ST STE 5
Detroit, MI 48212
(313) 733-8286
✔ PECOS8.7 mi

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 Revive Physician Woundcare Specialists PLLC's NPI number?

The NPI number for Revive Physician Woundcare Specialists PLLC is 1649102237. It was assigned to this organization in the NPPES registry on May 30, 2026.

Where is Revive Physician Woundcare Specialists PLLC located?

Revive Physician Woundcare Specialists PLLC is located at 19551 E 10 Mile Rd, Roseville, MI 48066. The listed phone number is (313) 717-8738.

What is Revive Physician Woundcare Specialists PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Revive Physician Woundcare Specialists PLLC enrolled in Medicare?

Yes. Revive Physician Woundcare Specialists PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Physician Woundcare Specialists PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Revive Physician Woundcare Specialists PLLC. 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 Revive Physician Woundcare Specialists PLLC was last updated on May 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.