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REVIVAL SPINE SURGERY LLC
NPI 1972005676
Orthopaedic Surgery in Saint Louis, MO

Active since March 08, 2018
621 S NEW BALLAS RD STE 589A, SAINT LOUIS, MO 63141(314) 690-8383 Get Directions Write a Review

NPPES record last updated: July 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 29, 2018, Mar 8, 2018 (2 updates tracked since 2018).

About Revival Spine Surgery Llc NPPES

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

REVIVAL SPINE SURGERY LLC (NPI 1972005676) is a healthcare organization registered as an orthopaedic surgery in Saint Louis, Missouri and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Saint Louis and lists Lukasz Curylo, Md/president, as its authorized official.

NPPES Registry Identity

NPI1972005676
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameREVIVAL SPINE SURGERY LLC
Location Address621 S NEW BALLAS RD STE 589ASaint Louis, MO 63141
Mailing Address621 S New Ballas Rd Ste 589aSaint Louis, MO 63141-8261
Phone(314) 690-8383
Organization SubpartNo
Authorized OfficialLukasz CuryloMd/president · (314) 690-8383
Enumeration DateMarch 8, 2018
Last NPPES UpdateJuly 1, 20182 updates tracked since enumeration
✔ NPI 1972005676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
621 S NEW BALLAS RD STE 589A, Saint Louis, MO 63141
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Secondary Practice Location 1

Location 11920 Sturfield CtSaint Louis, MO 63131-1625 · Phone (314) 435-5868

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Revival Spine Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revival Spine Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lukasz Curylo, M.D.
Orthopedic Surgery
NPI 1366481764
621 S NEW BALLAS RD STE 589A
Saint Louis, MO 63141
(314) 690-8383
✔ PECOS✔ Accepts MedicareSame address

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 Revival Spine Surgery LLC's NPI number?

The NPI number for Revival Spine Surgery LLC is 1972005676. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is Revival Spine Surgery LLC located?

Revival Spine Surgery LLC is located at 621 S New Ballas Rd Ste 589A, Saint Louis, MO 63141. The listed phone number is (314) 690-8383.

What is Revival Spine Surgery LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Revival Spine Surgery LLC enrolled in Medicare?

Yes. Revival Spine Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revival Spine Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Revival Spine Surgery 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Revival Spine Surgery LLC accept?

Health plans from Medica list Revival Spine Surgery 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 Revival Spine Surgery LLC was last updated on July 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.