Synergy Revitalize Medical Center, LLC
NPI 1558006957 · Internal Medicine Physician · Columbia, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Synergy Revitalize Medical Center, LLC is a Internal Medicine Physician organization in Columbia, MD (NPI 1558006957).
Provider details
- NPI number
- 1558006957
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elaine Taylor, Primary Care Provider(301) 602-4658
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Synergy Revitalize Med & Spa Center
Additional practice locations (2)
- 14020 Adkins RdLaurel, MD 20708-1102Phone: (301) 602-4658Fax: (301) 500-3114
- 8610 Deer Meadow BlvdStreetsboro, OH 44241-5868Phone: (301) 602-4658Fax: (216) 275-9980
Registry dates
- Enumerated
- 2022-04-29
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Frequently asked questions
- What is Synergy Revitalize Medical Center, LLC's NPI number?
- Synergy Revitalize Medical Center, LLC's National Provider Identifier (NPI) is 1558006957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Synergy Revitalize Medical Center, LLC?
- Synergy Revitalize Medical Center, LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Synergy Revitalize Medical Center, LLC located?
- Synergy Revitalize Medical Center, LLC's practice location on file with NPPES is 5457 Twin Knolls Rd Ste 300-S6, Columbia, MD 21045-3259.
- What is Synergy Revitalize Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Synergy Revitalize Medical Center, LLC is (301) 602-4658.
- Does Synergy Revitalize Medical Center, LLC accept Medicare?
- Synergy Revitalize Medical Center, LLC 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 Synergy Revitalize Medical Center, LLC?
- The authorized official listed on Synergy Revitalize Medical Center, LLC's NPPES record is Elaine Taylor, Primary Care Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Synergy Revitalize Medical Center, LLC's NPI active?
- Yes — Synergy Revitalize Medical Center, LLC's NPI (1558006957) is active in the NPPES registry as of the last update on 2026-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.