Centerwell Senior Primary Care Az PC
NPI 1003563347ActiveOrganization· Internal Medicine· Peoria, AZ
Internal Medicine in Peoria, Arizona, registered in NPPES in March 2022, part of Centerwell Senior Primary Care Az PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1003563347 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Az PC |
| NPI issued | Mar 7, 2022 |
| Last updated in NPPES | Oct 31, 2022 |
| Certified by provider | Oct 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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