Organization Active NPI

Revive PCMS Frisco LLC

  • Nephrology Physician
  • Frisco, TX
National Provider Identifier
1689555930
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
REVIVE PCMS FRISCO LLC
Practice address
2115 University Dr Ste 240
Frisco, TX 75033-4801
Phone
(972) 236-7060
NPI assigned
Sep 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Ali Alheleji
Title
Ceo/Owner
Phone
(972) 230-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2115 University Dr Ste 240
Frisco, TX 75033-4801

Mailing address

2115 University Dr Ste 240
Frisco, TX 75033-4801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118004958 TX Part B Supplier - Clinic/Group Practice 1557852431 Receives reassigned benefits from 3 practitioners
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1689555930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 UNIVERSITY DR STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 UNIVERSITY DR STE 240",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334801",
            "telephone_number": "972-236-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE PCMS FRISCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "ALHELEJI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "972-230-7060"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.