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Revive Joint and Spine Pllc

Interventional Pain Medicine Physician in Dearborn Heights, MI · enumerated 2026 · authorized official Mustafa Shukr, Medical Director.

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

National Provider Identifier

1790611838

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Registry record

Entity type Organization (Type 2)
Legal business name Revive Joint and Spine Pllc
Practice address 23902 Ford Rd Ste A, Dearborn Heights, MI, 48127
Phone (313) 777-7246
Fax (313) 672-6222
Enumeration date Jun 18, 2026
Last updated in NPPES Jun 18, 2026

Taxonomy & classification

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mustafa Shukr
Title Medical Director
Phone (313) 777-7246

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Revive Joint and Spine Pllc?
Revive Joint and Spine Pllc is registered in NPPES as a Interventional Pain Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-18.