Revive Life LLC
NPI 1740081223 · Multi-Specialty Clinic/Center · Gaithersburg, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive Life LLC is a Multi-Specialty Clinic/Center organization in Gaithersburg, MD (NPI 1740081223).
Provider details
- NPI number
- 1740081223
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Radhika Nataraj, Authorized Official(301) 252-1866
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2025-03-21
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Frequently asked questions
- What is Revive Life LLC's NPI number?
- Revive Life LLC's National Provider Identifier (NPI) is 1740081223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Life LLC?
- Revive Life LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revive Life LLC located?
- Revive Life LLC's practice location on file with NPPES is 316 E Diamond Ave, Gaithersburg, MD 20877-3070.
- What is Revive Life LLC's phone number?
- The practice phone number listed in the NPPES registry for Revive Life LLC is (206) 898-5432.
- Does Revive Life LLC accept Medicare?
- Revive Life 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 Revive Life LLC?
- The authorized official listed on Revive Life LLC's NPPES record is Radhika Nataraj, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Life LLC's NPI active?
- Yes — Revive Life LLC's NPI (1740081223) is active in the NPPES registry as of the last update on 2026-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.