Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revolution Medicine Health & Fitness PLLC

Organization Family Medicine Physician · NPI 1245887959

Revolution Medicine Health & Fitness PLLC is a Family Medicine Physician in Washington, District of Columbia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone: (202) 596-8891
Fax: (304) 245-6029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1245887959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Glickman — Physician · (202) 596-8891
NPI enumeratedAugust 19, 2019
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address1050 Connecticut Ave Nw Ste 500, Washington, DC 20036-5304

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