Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

REVIVE JOINT AND SPINE PLLC
NPI 1790611838
Pain Medicine - Interventional Pain Medicine in Dearborn Heights, MI

Q: What is Revive Joint And Spine PLLC's NPI number?

The NPI number for Revive Joint And Spine PLLC is 1790611838. It was assigned to this organization in the NPPES registry on June 18, 2026.

Q: What is Revive Joint And Spine PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since June 18, 2026

23902 FORD RD STE A, DEARBORN HEIGHTS, MI 48127(313) 777-7246(313) 672-6222 Get Directions Write a Review

NPPES record added: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Revive Joint And Spine Pllc NPPES

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

REVIVE JOINT AND SPINE PLLC (NPI 1790611838) is a healthcare organization registered as an interventional pain medicine in Dearborn Heights, Michigan and active in the NPI registry since June 2026. The organization lists Mustafa Shukr, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790611838

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameREVIVE JOINT AND SPINE PLLC

Location Address23902 FORD RD STE ADearborn Heights, MI 48127-3289

Mailing Address23902 Ford Rd Ste ADearborn Heights, MI 48127-3289 · (313) 777-7246 · Fax (313) 672-6222

Phone(313) 777-7246

Fax(313) 672-6222

Organization SubpartNo

Authorized OfficialMustafa ShukrMedical Director · (313) 777-7246

Enumeration DateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1790611838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

23902 FORD RD STE A, Dearborn Heights, MI 48127

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONCALL MEDICAL GROUP PLLC

Internal Medicine

23902 FORD RD STE A
DEARBORN HEIGHTS, MI 48127

Wayne County (313) 777-7246

ONCALL URGENT CARE PLLC

Clinic/Center (Urgent Care)

23902 FORD RD STE A
DEARBORN HEIGHTS, MI 48127

Wayne County (313) 777-7246

MICHIGAN SPORTS MEDICINE PC

Durable Medical Equipment & Medical Supplies

23902 FORD RD STE A
DEARBORN HEIGHTS, MI 48127

Wayne County (313) 562-4700

DR. MUSTAFA SHUKR M.D.

Pain Medicine (Interventional Pain Medicine)

23902 FORD RD STE A
DEARBORN HEIGHTS, MI 48127

Wayne County (313) 777-7246

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 Joint And Spine PLLC's NPI number?

The NPI number for Revive Joint And Spine PLLC is 1790611838. It was assigned to this organization in the NPPES registry on June 18, 2026.

Where is Revive Joint And Spine PLLC located?

Revive Joint And Spine PLLC is located at 23902 Ford Rd Ste A, Dearborn Heights, MI 48127. The listed phone number is (313) 777-7246.

What is Revive Joint And Spine PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Revive Joint And Spine PLLC was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.