REVENGE MEDICAL INC
NPI 1942921200
Specialist in Reno, NV
About Revenge Medical Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVENGE MEDICAL INC (NPI 1942921200) is a healthcare organization registered as a specialist in Reno, Nevada and active in the NPI registry since September 2022. The organization lists Edin Abdagic, Medical Director / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Revenge Medical Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Revenge Medical Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Revenge Medical Inc's NPI number?
The NPI number for Revenge Medical Inc is 1942921200. It was assigned to this organization in the NPPES registry on September 6, 2022.
Where is Revenge Medical Inc located?
Revenge Medical Inc is located at 343 Elm St Ste 201, Reno, NV 89503. The listed phone number is (775) 470-6651.
What is Revenge Medical Inc's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Revenge Medical Inc enrolled in Medicare?
Yes. Revenge Medical Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revenge Medical Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Revenge Medical Inc. 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. Of these, 2 practice at this address and 4 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 Revenge Medical Inc was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Revenge Medical Inc · NPI 1942921200
Specialist organization in Reno, Nevada. Organization record, active in the CMS NPPES registry since September 6, 2022.
## Identity
- **NPI:** 1942921200 (Entity type: Organization)
- **Enumerated:** September 6, 2022
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Edin Abdagic, MEDICAL DIRECTOR / OWNER
## Practice location
- **Address:** 343 ELM ST STE 201, Reno, NV 89503-4538
- **Phone:** (775) 470-6651 · **Fax:** (775) 622-0788
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942921200) · Data from the CMS NPPES public registry.