Centerwell Senior Primary Care (Tx) PA
NPI 1679212955ActiveOrganization· Internal Medicine· Fort Worth, TX
Internal Medicine in Fort Worth, Texas, registered in NPPES in June 2022, part of Centerwell Senior Primary Care Tx PA. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1679212955 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Tx PA |
| NPI issued | Jun 3, 2022 |
| Last updated in NPPES | Oct 18, 2022 |
| Certified by provider | Oct 18, 2022 |
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 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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