Organization Active NPI

Revive PCMS McKinney LLC

  • Hospitalist Physician
  • McKinney, TX
National Provider Identifier
1316826324
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
REVIVE PCMS MCKINNEY LLC
Practice address
4987 W University Dr Ste 150
McKinney, TX 75071-5011
Phone
(972) 236-7060
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Ali Alheleji
Title
Ceo
Phone
(972) 236-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

4987 W University Dr Ste 150
McKinney, TX 75071-5011

Mailing address

4987 W University Dr Ste 150
McKinney, TX 75071-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251009002706 TX Part B Supplier - Clinic/Group Practice 5991202459 Receives reassigned benefits from 7 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Locations

4987 W University Dr
Ste 150
McKinney, TX 75071
Phone (214) 548-5033

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1316826324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715011",
            "telephone_number": "972-236-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PCMS MCKINNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "ALHELEJI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-236-7060"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.