REVIVE MEDICINE LLC – Obesity Medicine (Family Medicine) Physician, NPI 1013618255

REVIVE MEDICINE LLC is a healthcare provider. based in Fairfax, Virginia. specializing in Obesity Medicine (Family Medicine) Physician. The NPI Number for REVIVE MEDICINE LLC is 1013618255

Main info

Organization
Name
REVIVE MEDICINE LLC
NPI
1013618255
Phone
(951) 741-7258
Address
5423 MARLSTONE LN
Authorized Official
DR. NANCY SELIM PRINCIPAL DO
Enumeration Date
14 March 2023
Last Update Date
14 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

Provider Addresses for REVIVE MEDICINE LLC

  • 5423 MARLSTONE LN

    FAIRFAX, VA 220305834

    Phone: (951) 741-7258

    Type: Mailing

  • 3998 FAIR RIDGE DR STE 270

    FAIRFAX, VA 220332907

    Phone: (571) 544-8110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22030)

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Reviews

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Frequently asked questions

Can I verify REVIVE MEDICINE LLC with an NPI only?
You can start verification with NPI 1013618255 for REVIVE MEDICINE LLC, then check state licensing separately.
Is REVIVE MEDICINE LLC listed as active for patients and plans?
The listing shows REVIVE MEDICINE LLC as active in the NPI system.
What taxonomy line describes REVIVE MEDICINE LLC?
For research purposes, treat REVIVE MEDICINE LLC as Obesity Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is REVIVE MEDICINE LLC based?
REVIVE MEDICINE LLC is tied to Fairfax, Virginia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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