Centerwell Senior Primary Care Az Cs PC
NPI 1477418382ActiveOrganization· Internal Medicine· Surprise, AZ
Internal Medicine in Surprise, Arizona, registered in NPPES in December 2025, part of Centerwell Senior Primary Care Az Cs PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1477418382 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Az Cs PC |
| NPI issued | Dec 23, 2025 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
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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