REVIVE WOUND CARE LLC
NPI 1942057955
Clinic/Center - Multi-Specialty in Oak Brook, IL
About Revive Wound Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVIVE WOUND CARE LLC (NPI 1942057955) is a healthcare organization registered as a multi-specialty in Oak Brook, Illinois and active in the NPI registry since May 2024. The organization lists Luqman Baloch, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Wound Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Revive Wound Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 Wound Care LLC's NPI number?
The NPI number for Revive Wound Care LLC is 1942057955. It was assigned to this organization in the NPPES registry on May 6, 2024.
Where is Revive Wound Care LLC located?
Revive Wound Care LLC is located at 2210 Midwest Rd, Oak Brook, IL 60523. The listed phone number is (630) 422-3943.
What is Revive Wound Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Revive Wound Care LLC enrolled in Medicare?
Yes. Revive Wound Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revive Wound Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Revive Wound Care 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 General Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Revive Wound Care LLC accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Revive Wound Care 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 Wound Care LLC was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Revive Wound Care Llc · NPI 1942057955
Multi-Specialty organization in Oak Brook, Illinois. Organization record, active in the CMS NPPES registry since May 6, 2024.
## Identity
- **NPI:** 1942057955 (Entity type: Organization)
- **Enumerated:** May 6, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Luqman Baloch, PRESIDENT
## Practice location
- **Address:** 2210 MIDWEST RD, Oak Brook, IL 60523-1280
- **Phone:** (630) 422-3943
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), General Surgery (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942057955) · Data from the CMS NPPES public registry.