Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Fredy Jesus Revilla, M.D.

Neurology Physician in Greenville, SC · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760418610

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Registry record

Entity type Individual (Type 1)

Name Fredy Jesus Revilla

Credential M.D.

Sex Male

Practice address 200 Patewood Dr Ste B350, Greenville, SC, 29615

Phone (864) 454-4500

Fax (864) 454-4505

Enumeration date Jun 23, 2006

Last updated in NPPES Jun 29, 2021

Taxonomy & licenses

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 35083417 (OH) Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians · License 37641 (SC) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2463614	Medicaid	OH	-
376417	Medicaid	SC	-
P00113175	Other	OH	MEDICARE RAILROAD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Fredy Revilla's NPI record?

Cross-check NPI 1760418610 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1760418610 active?

Yes, as of the latest NPPES snapshot, NPI 1760418610 is active (record last updated 2021-06-29).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-29.