Centerwell Senior Primary Care Az PC
NPI 1699582106ActiveOrganization· Internal Medicine· Surprise, AZ
Internal Medicine in Surprise, Arizona, registered in NPPES in December 2024, part of Centerwell Senior Primary Care Az PC. The authorized official on file is Angie Martinez, Senior Credentialing Professional.
Overview
| NPI | 1699582106 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care Az PC |
| NPI issued | Dec 17, 2024 |
| Last updated in NPPES | Dec 17, 2024 |
| Certified by provider | Dec 17, 2024 |
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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