Revamp - Encardia, LLC
NPI 1962245076 · Ambulatory Surgical Clinic/Center · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revamp - Encardia, LLC is a Ambulatory Surgical Clinic/Center organization in Philadelphia, PA (NPI 1962245076).
Provider details
- NPI number
- 1962245076
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Baldock, Officer and Authorized Official(615) 234-5954
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
2 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
Other names (DBA / former)
- Doing business as
- Revamp Heart & Vascular Surgery Center
Registry dates
- Enumerated
- 2024-06-17
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Revamp - Encardia, LLC's NPI number?
- Revamp - Encardia, LLC's National Provider Identifier (NPI) is 1962245076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revamp - Encardia, LLC?
- Revamp - Encardia, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Revamp - Encardia, LLC located?
- Revamp - Encardia, LLC's practice location on file with NPPES is 510 N Broad St Ste 201, Philadelphia, PA 19130-4379.
- What is Revamp - Encardia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Revamp - Encardia, LLC is (267) 908-9520.
- Does Revamp - Encardia, LLC accept Medicare?
- Revamp - Encardia, 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 Revamp - Encardia, LLC?
- The authorized official listed on Revamp - Encardia, LLC's NPPES record is Jennifer Baldock, Officer and Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revamp - Encardia, LLC's NPI active?
- Yes — Revamp - Encardia, LLC's NPI (1962245076) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.