REVIVE PCMS FRISCO LLC
NPI 1689555930
Internal Medicine - Nephrology in Frisco, TX

Active since September 11, 2025
2115 UNIVERSITY DR STE 240, FRISCO, TX 75033(972) 236-7060 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Revive Pcms Frisco Llc NPPES

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

REVIVE PCMS FRISCO LLC (NPI 1689555930) is a healthcare organization registered as a nephrology in Frisco, Texas and active in the NPI registry since September 2025. The organization lists Ali Alheleji, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1689555930
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameREVIVE PCMS FRISCO LLC
Location Address2115 UNIVERSITY DR STE 240Frisco, TX 75033-4801
Mailing Address2115 University Dr Ste 240Frisco, TX 75033-4801
Organization SubpartNo
Authorized OfficialAli AlhelejiCeo/owner · (972) 230-7060
Enumeration DateSeptember 11, 2025
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1689555930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2115 UNIVERSITY DR STE 240, Frisco, TX 75033

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

Accepted Insurance

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 Pcms Frisco Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Revive Pcms Frisco LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1164388930
2115 UNIVERSITY DR STE 240
Frisco, TX 75033
(972) 236-7060
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790388015
2115 UNIVERSITY DR STE 240
Frisco, TX 75033
(972) 403-0800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1902057383
809 S MACARTHUR BLVD STE 400
Coppell, TX 75019
(469) 498-2000
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1851715007
1300 ROANOKE AVE
Riverhead, NY 11901
(631) 548-6440
✔ PECOS✔ Accepts Medicare1,433 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 Pcms Frisco LLC's NPI number?

The NPI number for Revive Pcms Frisco LLC is 1689555930. It was assigned to this organization in the NPPES registry on September 11, 2025.

Where is Revive Pcms Frisco LLC located?

Revive Pcms Frisco LLC is located at 2115 University Dr Ste 240, Frisco, TX 75033. The listed phone number is (972) 236-7060.

What is Revive Pcms Frisco LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Revive Pcms Frisco LLC enrolled in Medicare?

Yes. Revive Pcms Frisco LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Pcms Frisco LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Revive Pcms Frisco LLC. 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) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revive Pcms Frisco LLC accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Revive Pcms Frisco LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revive Pcms Frisco LLC was last updated on June 25, 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.