Centrum Medical Group, PLLC
NPI 1376219543ActiveOrganization· General Practice· Katy, TX
General Practice in Katy, Texas, registered in NPPES in August 2021. The authorized official on file is Graciela Vanessa Victorero, Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376219543 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2021 |
| Last updated in NPPES | Jan 27, 2022 |
| Certified by provider | Jan 27, 2022 |
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 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) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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