CENTENNIAL MEDICAL GROUP, PA – NPI #1134235039
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CENTENNIAL MEDICAL GROUP, PA is a provider located in COLUMBIA, MD. NPPES has assigned the NPI number 1134235039 to CENTENNIAL MEDICAL GROUP, PA on August 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CENTENNIAL MEDICAL GROUP, PA is also known by the name CENTENNIAL MEDICAL GROUP MULTI SPECIALTY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Sep 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTENNIAL MEDICAL GROUP, PA below.

NPI Profile for
CENTENNIAL MEDICAL GROUP, PA

NPI Number
1134235039
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTENNIAL MEDICAL GROUP, PA
Other Name: CENTENNIAL MEDICAL GROUP MULTI SPECIALTY
Primary location
6250 OLD DOBBIN LN
COLUMBIA, MD 21045-5816
Phone: (410) 730-3399 Fax: (443) 478-4737
Mailing address
6230 OLD DOBBIN LN STE 230
COLUMBIA, MD 21045-5884
Phone: (410) 730-3399 Fax: (443) 478-4737
Organization Subpart
No
Authorized Official
RAJIV DUA
MEDICAL DIRECTOR
Phone: (410) 730-3399
Updated
Certification Date
Sep 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CENTENNIAL MEDICAL GROUP, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSMDR481
medicaidMD470010400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.