OrganizationActive
Revive Medical Group Mi PC
NPI 1679304893 · Psychiatry Physician · Newaygo, MI
Revive Medical Group Mi PC is a Psychiatry Physician organization in Newaygo, MI (NPI 1679304893).
Provider details
- NPI number
- 1679304893
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Omar Ziyadeh, Ceo/Program Manager(203) 430-1321
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
231 W Pine Lake Dr
Newaygo, MI 49337-9264
Phone: (203) 430-1321
Street-level locationGet directions
Mailing address
81 Roanoke Ave
Fairfield, CT 06824-6124
Registry dates
- Enumerated
- 2024-08-09
- Last updated
- 2024-08-09
- Certified
- 2024-08-09
Frequently asked questions
- What is Revive Medical Group Mi PC's NPI number?
- Revive Medical Group Mi PC's National Provider Identifier (NPI) is 1679304893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Medical Group Mi PC?
- Revive Medical Group Mi PC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Medical Group Mi PC located?
- Revive Medical Group Mi PC's practice location on file with NPPES is 231 W Pine Lake Dr, Newaygo, MI 49337-9264.
- What is Revive Medical Group Mi PC's phone number?
- The practice phone number listed in the NPPES registry for Revive Medical Group Mi PC is (203) 430-1321.
- Who is the authorized official for Revive Medical Group Mi PC?
- The authorized official listed on Revive Medical Group Mi PC's NPPES record is Omar Ziyadeh, Ceo/Program Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Medical Group Mi PC's NPI active?
- Yes — Revive Medical Group Mi PC's NPI (1679304893) is active in the NPPES registry as of the last update on 2024-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.