Madaiah Revana, MD PA

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

E7719 Issued in TX

Practice address

9816 Memorial Blvd Ste 107
Humble, TX 77338-4205

Phone

(281) 446-4638

Fax

(281) 973-9454

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIEIAD
• FHIR API: https://fhir4.healow.com/fhir/r4/GIEIAD/Endpoint/GIEIAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Madaiah Revana MD PA

  • Interventional Cardiology Physician
  • Humble, TX
  • NPI 1477768141

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• KPH-Consolidation, Inc.

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1013997360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD",
            "address_2": "STE 107, STE 120 (TESTING)",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384264",
            "telephone_number": "281-446-4638",
            "fax_number": "281-446-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD STE 107",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384205",
            "telephone_number": "281-446-4638",
            "fax_number": "281-973-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVANA",
        "first_name": "MADAIAH",
        "credential": "MD PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "E7719",
            "primary": true
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "TX",
            "license": "E7719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "390396",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "742018542",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137528912",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82G136",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10016000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Resby, FNP-C
• Respiratory & Oxygen Plus Inc
• Respiratory Plus
• Lunna Daniela Retana
• Revana Cardiology Associates, PLLC
• Revolution Pain Management, PLLC
• Elda Maria Reyes Calzado, NP
• Fernanda Reyes
• Shoaib Ahmad Rezai
• Auntreek B Rhodes

• Interventional Cardiology Physician in Humble, TX
• Providers in Humble, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.