Centerwell Senior Primary Care Tx PA
NPI 1396441481ActiveOrganization· Internal Medicine· Richardson, TX
Internal Medicine in Richardson, Texas, registered in NPPES in February 2023, part of Centerwell Senior Primary Care Tx PA. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1396441481 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Tx PA |
| NPI issued | Feb 1, 2023 |
| Last updated in NPPES | Aug 11, 2023 |
| Certified by provider | Aug 11, 2023 |
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 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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