Revanth Madina, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

W5868 Issued in TX

Practice address

341 Wheatfield Dr Ste 240
Sunnyvale, TX 75182-4644

Phone

(469) 442-3434

NPI assigned

Mar 29, 2022

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1326788555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SUMMER ALCOVE WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321257",
            "telephone_number": "512-680-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 WHEATFIELD DR STE 240",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824644",
            "telephone_number": "469-442-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 W Ralph Hall Pkwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326658",
            "country_code": "US",
            "telephone_number": "469-442-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADINA",
        "first_name": "REVANTH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "W5868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucror Health
• Jaitha Lukose, NP
• Jordan Cornelio Luna, DDS
• Vanya Elizabeth Lyday, PA-C
• Prasad V Maddukuri, MD
• Lindsay Majors, APRN-FNP
• Lizy Mammoottil
• Abigail Sylvia Martin, PA-C
• Cyrus Masih, DNAP, CRNA
• Ebony Mason

• Psychiatry Physician in Sunnyvale, TX
• Providers in Sunnyvale, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.