Centerwell Senior Primary Care (Tx) PA
NPI 1861959298ActiveOrganization· Internal Medicine· Pasadena, TX
Internal Medicine in Pasadena, Texas, registered in NPPES in February 2019, part of Centerwell Senior Primary Care (Tx) PA. The authorized official on file is Angie Martinez, Senior Credentialing Professional. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861959298 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Centerwell Senior Primary Care (Tx) PA |
| NPI issued | Feb 21, 2019 |
| 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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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