Revolution Medicine Health & Fitness PLLC
NPI 1245887959 · Family Medicine Physician · Washington, DC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revolution Medicine Health & Fitness PLLC is a Family Medicine Physician organization in Washington, DC (NPI 1245887959).
Provider details
- NPI number
- 1245887959
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Glickman, Physician(202) 596-8891
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
- 2019-08-19
- Last updated
- 2026-05-19
- Certified
- 2026-05-19
Frequently asked questions
- What is Revolution Medicine Health & Fitness PLLC's NPI number?
- Revolution Medicine Health & Fitness PLLC's National Provider Identifier (NPI) is 1245887959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revolution Medicine Health & Fitness PLLC?
- Revolution Medicine Health & Fitness PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revolution Medicine Health & Fitness PLLC located?
- Revolution Medicine Health & Fitness PLLC's practice location on file with NPPES is 1050 Connecticut Ave Nw Ste 500, Washington, DC 20036-5304.
- What is Revolution Medicine Health & Fitness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Revolution Medicine Health & Fitness PLLC is (202) 596-8891.
- Does Revolution Medicine Health & Fitness PLLC accept Medicare?
- Revolution Medicine Health & Fitness PLLC 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 Revolution Medicine Health & Fitness PLLC?
- The authorized official listed on Revolution Medicine Health & Fitness PLLC's NPPES record is Michael Glickman, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revolution Medicine Health & Fitness PLLC's NPI active?
- Yes — Revolution Medicine Health & Fitness PLLC's NPI (1245887959) is active in the NPPES registry as of the last update on 2026-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.