MADAIAH REVANA MD PA – NPI #1013997360
Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
MADAIAH REVANA is a physician located in HUMBLE, TX. NPPES has assigned the NPI number 1013997360 to MADAIAH REVANA on January 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology
The NPI profile was last updated on Feb 03, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MADAIAH REVANA below.
NPI Profile for
MADAIAH REVANA
(more than 20 years ago)
HUMBLE, TX 77338-4205 Phone: (281) 446-4638 Fax: (281) 973-9454
STE 107, STE 120 (TESTING)
HUMBLE, TX 77338-4264 Phone: (281) 446-4638 Fax: (281) 446-5386
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MADAIAH REVANA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | AMERIGROUP | TX | 10016000 |
| other | BCBS | 82G136 | |
| other | TAX ID | 742018542 | |
| other | WELLCARE | TX | 390396 |
| medicaid | TX | 137528912 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RI0011X - Internal Medicine / Interventional Cardiology (Primary) |
TX | E7719 |
| 207UN0902X - Nuclear Medicine / Nuclear Imaging & Therapy |
TX | E7719 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
MADAIAH REVANA is affiliated with the following medical group(s):
- HOSPITAL
- KINGWOOD MEDICAL CENTER22999 US HWY 59
KINGWOOD, TX 77325 - MEMORIAL HERMANN NORTHEAST HOSPITAL18951 MEMORIAL NORTH
HUMBLE, TX 77338
- KINGWOOD MEDICAL CENTER22999 US HWY 59
Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.
How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.
Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System.
See the complete CMS Data Dissemination Notice here.