REVASCMEDPROFESSIONALS PC
NPI 1669074795
Internal Medicine - Cardiovascular Disease in Philadelphia, PA
About Revascmedprofessionals Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVASCMEDPROFESSIONALS PC (NPI 1669074795), doing business as Revamp, is a healthcare organization registered as a cardiovascular disease in Philadelphia, Pennsylvania and active in the NPI registry since November 2020. The organization maintains 3 additional practice locations and lists Jon C George, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
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)
Revascmedprofessionals Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Revascmedprofessionals PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Revascmedprofessionals PC's NPI number?
The NPI number for Revascmedprofessionals PC is 1669074795. It was assigned to this organization in the NPPES registry on November 13, 2020. The provider is doing business as ReVamp.
Where is Revascmedprofessionals PC located?
Revascmedprofessionals PC is located at 2418 E York St, Philadelphia, PA 19125. The listed phone number is (267) 887-0013.
What is Revascmedprofessionals PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Revascmedprofessionals PC enrolled in Medicare?
Yes. Revascmedprofessionals PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revascmedprofessionals PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Revascmedprofessionals PC. 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. The largest specialties are Nurse Practitioner (3), Interventional Cardiology (2) and Diagnostic Radiology (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revascmedprofessionals PC was last updated on June 27, 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.
# Revascmedprofessionals Pc · NPI 1669074795
Cardiovascular Disease organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since November 13, 2020.
## Identity
- **NPI:** 1669074795 (Entity type: Organization)
- **Enumerated:** November 13, 2020
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Also known as:** ReVamp (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jon George, OWNER
## Practice location
- **Address:** 2418 E YORK ST, Philadelphia, PA 19125-3006
- **Phone:** (267) 887-0013 · **Fax:** (833) 972-5088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Interventional Cardiology (2), Diagnostic Radiology (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669074795) · Data from the CMS NPPES public registry.