Revitalis LLC
NPI 1710788294ActiveOrganization· Otolaryngology, Plastic Surgery within the Head & Neck· Scottsdale, AZ
Otolaryngology, Plastic Surgery within the Head & Neck in Scottsdale, Arizona, registered in NPPES in March 2025. The authorized official on file is Nathan Jowett, MD, PHD, Director.
Overview
| NPI | 1710788294 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2025 |
| Last updated in NPPES | May 20, 2026 |
| Certified by provider | May 20, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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