Centennial Medical Group, PA
NPI 1245953009ActiveOrganization· Family Medicine· Ellicott City, MD
Family Medicine in Ellicott City, Maryland, registered in NPPES in September 2022, part of Centennial Medical Group. The authorized official on file is Rajiv Dua, MD, Medical Director.
Overview
| NPI | 1245953009 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centennial Medical Group |
| NPI issued | Sep 26, 2022 |
| Last updated in NPPES | Sep 18, 2024 |
| Certified by provider | Sep 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
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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