P Praxis·MD
● Active Type 1 · Individual

Madaiah Revana, MD PA

Internal Medicine·Humble, TX· NPI 1013997360 · Enumerated 2006 · 20 years on NPI
Revana is 1 of 25 internal medicine providers in Humble and 1 of 883 in Texas.
NPI age
20 years
Enumerated 2006-01-20
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 883 active internal medicine providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
1
In the 72% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
9816 Memorial Blvd Ste 107
Humble, TX 773384205
📞 2814464638fax 2819739454
Mailing address
9816 Memorial Blvd, Ste 107, Ste 120 (testing)
Humble, TX 773384264
📞 2814464638fax 2814465386

Specialties

  • Internal Medicine Primary
    An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
    TX license #E7719 taxonomy 207RI0011X
  • Nuclear Medicine
    A nuclear medicine physician who specializes in nuclear imaging and therapy.
    TX license #E7719 taxonomy 207UN0902X

Identifiers

TypeValueNotes
01 (TX) 390396 WELLCARE
01 742018542 TAX ID
05 (TX) 137528912
01 82G136 BCBS
01 (TX) 10016000 AMERIGROUP

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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