Madaiah Revana MD PA

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

MADAIAH REVANA MD PA

Doing business as

Humble Cardiology Associates & Pacemaker Clinic

Practice address

9816 Memorial Blvd
Ste 107 Ste 120 (Testing)
Humble, TX 77338-4205

Phone

(281) 446-4638

Fax

(281) 973-9454

NPI assigned

May 14, 2007

Last updated

Feb 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madaiah Revana, MDNPI 1013997360

Title

Owner

Phone

(281) 446-4638

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 2

• Humble Cardiology Associates & Pacemaker Clinic Doing business as
• Madaiah Revana MD Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madaiah Revana, MD PA

  • Interventional Cardiology Physician
  • Humble, TX
  • NPI 1013997360

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Caroline Nguyentham

  • Acute Care Nurse Practitioner
  • Humble, TX
  • NPI 1518434554
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1477768141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD STE 107",
            "address_2": "SUITE 120 (TESTING)",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384205",
            "telephone_number": "281-446-4638",
            "fax_number": "281-973-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9816 MEMORIAL BLVD",
            "address_2": "STE 107 STE 120 (TESTING)",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384205",
            "telephone_number": "281-446-4638",
            "fax_number": "281-973-9454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9816 Memorial Blvd Ste 107",
            "address_2": "Suite 120 (testing)",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384205",
            "country_code": "US",
            "telephone_number": "281-446-4638",
            "fax_number": "281-973-9454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MADAIAH REVANA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "REVANA",
        "authorized_official_first_name": "MADAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-446-4638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "390396",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10016000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82G136",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359911001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humble Cardiology Associates & Pacemaker Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madaiah Revana MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.