Revive Medical & Aesthetic Clinic
NPI 1104536358 · Primary Care Clinic/Center · Greenbelt, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Medical & Aesthetic Clinic is a Primary Care Clinic/Center organization in Greenbelt, MD (NPI 1104536358).
Provider details
- NPI number
- 1104536358
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Florence Ukenye, Clinical Director(301) 412-5522
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2022-11-29
- Certified
- 2022-11-29
Frequently asked questions
- What is Revive Medical & Aesthetic Clinic's NPI number?
- Revive Medical & Aesthetic Clinic's National Provider Identifier (NPI) is 1104536358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Medical & Aesthetic Clinic?
- Revive Medical & Aesthetic Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Medical & Aesthetic Clinic located?
- Revive Medical & Aesthetic Clinic's practice location on file with NPPES is 7313 Hanover Pkwy Ste a, Greenbelt, MD 20770-3667.
- What is Revive Medical & Aesthetic Clinic's phone number?
- The practice phone number listed in the NPPES registry for Revive Medical & Aesthetic Clinic is (301) 412-5522.
- Does Revive Medical & Aesthetic Clinic accept Medicare?
- Revive Medical & Aesthetic Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revive Medical & Aesthetic Clinic?
- The authorized official listed on Revive Medical & Aesthetic Clinic's NPPES record is Florence Ukenye, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Medical & Aesthetic Clinic's NPI active?
- Yes — Revive Medical & Aesthetic Clinic's NPI (1104536358) is active in the NPPES registry as of the last update on 2022-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.