Revive Pain Solutions Grand Rapids
NPI 1962393306ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Grand Rapids, MI
Pain Medicine, Interventional Pain Medicine in Grand Rapids, Michigan, registered in NPPES in July 2025. The authorized official on file is Thomas M. Basch, MD, Supervising Physician.
Overview
| NPI | 1962393306 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2025 |
| Last updated in NPPES | Oct 17, 2025 |
| Certified by provider | Oct 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
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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