MADAIAH REVANA MD PA – NPI #1477768141
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 MD PA is a provider located in HUMBLE, TX. NPPES has assigned the NPI number 1477768141 to MADAIAH REVANA MD PA on May 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. 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 MD PA below.

NPI Profile for
MADAIAH REVANA MD PA

NPI Number
1477768141
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MADAIAH REVANA MD PA
Other name(s)
All associated names:
Doing Business As (dba)
Humble Cardiology Associates & Pacemaker Clinic
Other Name
Madaiah Revana MD
Primary location
9816 MEMORIAL BLVD
STE 107 STE 120 (TESTING)
HUMBLE, TX 77338-4205
Phone: (281) 446-4638 Fax: (281) 973-9454
1 Other location(s):
9816 Memorial Blvd Ste 107
Suite 120 (testing)
Humble, TX 77338-4205
Phone: (281) 446-4638
Fax: (281) 973-9454
Mailing address
9816 MEMORIAL BLVD STE 107
SUITE 120 (TESTING)
HUMBLE, TX 77338-4205
Phone: (281) 446-4638 Fax: (281) 973-9454
Organization Subpart
No
Authorized Official
MADAIAH REVANA
OWNER
Phone: (281) 446-4638
Updated
Certification Date
Feb 03, 2026

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

Identifiers for MADAIAH REVANA MD PA

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.

DescriptionIssuerStateIdentifier
otherAMERIGROUPTX10016000
otherBCBSTX82G136
otherWELLCARETX390396
medicaidTX359911001
Taxonomy Code(s)

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)
207UN0902X
- Nuclear Medicine / Nuclear Imaging & Therapy

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.