Centennial Medical Group, PA
NPI 1306477849ActiveOrganization· General Practice· Gambrills, MD
General Practice in Gambrills, Maryland, registered in NPPES in February 2020, part of Centennial Medical Group. The authorized official on file is Ron Elfenbein, MD, Medical Director.
Overview
| NPI | 1306477849 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centennial Medical Group |
| NPI issued | Feb 3, 2020 |
| Last updated in NPPES | Feb 3, 2020 |
| Certified by provider | Feb 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 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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