OrganizationActive
Revive Medicine LLC
NPI 1013618255 · Obesity Medicine (Family Medicine) Physician · Fairfax, VA
Provider details
- NPI number
- 1013618255
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nancy Selim, Principal(951) 741-7258
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3998 Fair Ridge Dr Ste 270
Fairfax, VA 22033-2907
Phone: (571) 544-8110
Street-level locationGet directions
Mailing address
5423 Marlstone Ln
Fairfax, VA 22030-5834
Registry dates
- Enumerated
- 2023-03-14
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.