Centerwell Senior Primary Care (Nv) PC
NPI 1154944544ActiveOrganization· Internal Medicine· Henderson, NV
Internal Medicine in Henderson, Nevada, registered in NPPES in May 2020, part of Centerwell Senior Primary Care (Nv) PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1154944544 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care (Nv) PC |
| NPI issued | May 20, 2020 |
| Last updated in NPPES | Jul 3, 2024 |
| Certified by provider | Jul 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine, Interventional Cardiology | 207RI0011X | — | — |
| General Practice | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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