Organization Active NPI

Revive Endocrinology & Diabetes Specialists PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Plano, TX
National Provider Identifier
1386564631
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
REVIVE ENDOCRINOLOGY & DIABETES SPECIALISTS PLLC
Practice address
4017 E Plano Pkwy Ste 430
Plano, TX 75074-1842
Phone
(214) 770-3610
NPI assigned
Jul 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Hammad Nazeer
Title
Owner
Phone
(214) 770-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

4017 E Plano Pkwy Ste 430
Plano, TX 75074-1842

Mailing address

800 Feathering Way
Plano, TX 75074-0324
Phone (214) 770-3610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1386564631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FEATHERING WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750740324",
            "telephone_number": "214-770-3610",
            "fax_number": "214-894-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 E PLANO PKWY STE 430",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750741842",
            "telephone_number": "214-770-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE ENDOCRINOLOGY & DIABETES SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "NAZEER",
        "authorized_official_first_name": "HAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-770-3610"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.