1. Home
  2. Directory
  3. Maryland
  4. Gambrills
  5. Family Medicine
  6. NPI Profile

CENTENNIAL MEDICAL GROUP, PA
NPI 1033858832
Family Medicine in Gambrills, MD

Active since May 31, 2022CLIA Certified · 2 labs
1071 MD RT 3 N, GAMBRILLS, MD 21054(410) 721-2333 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centennial Medical Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTENNIAL MEDICAL GROUP, PA (NPI 1033858832) is a healthcare organization registered as a family medicine in Gambrills, Maryland and active in the NPI registry since May 2022. The organization holds 2 active CLIA laboratory certificates and lists Rajiv Dua, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033858832
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTENNIAL MEDICAL GROUP, PA
Location Address1071 MD RT 3 NGambrills, MD 21054-1784
Mailing Address6230 Old Dobbin LnColumbia, MD 21045-5803 · (410) 730-3399
Phone(410) 721-2333
Organization SubpartYesParent: Centennial Medical Group
Authorized OfficialRajiv DuaMedical Director · (410) 730-3399
Enumeration DateMay 31, 2022
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1033858832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
1071 MD RT 3 N, Gambrills, MD 21054
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2255317

Centennial Medical Group - Research · Columbia, MD
Active · expires Mar 13, 2028
CLIA Number21D2255317
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorDr. Rajiv Dua
Laboratory Phone(410) 730-3399
Laboratory LocationCentennial Medical Group - Research6250 Old Dobbin Ln, Columbia, MD 21045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2297105

Centennial Medical Group · Columbia, MD
Active · expires Jan 9, 2028
CLIA Number21D2297105
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorRajiv Dua
Laboratory Phone(410) 730-3399
Laboratory LocationCentennial Medical Group6250 Old Dobbin Lane, Columbia, MD 21045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 21D0976641

Centennial Medical Group · Columbia, MD
Expired · Aug 7, 2026
CLIA Number21D0976641
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorSameer Sawhney
Laboratory Phone(410) 730-3399
Laboratory LocationCentennial Medical Group6250 Old Dobbin Lane Suite D, Columbia, MD 21045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AC MEDICAL LLC
Clinic/Center (Urgent Care)
1071 MD RT 3 N
GAMBRILLS, MD 21054
Anne Arundel County (240) 464-1495
DELICATE DENTAL OF MARYLAND, P.C.
Clinic/Center (Dental)
1071 MD RT 3 N, SUITE 201
GAMBRILLS, MD 21054
Anne Arundel County (410) 721-8777
CHESAPEAKE PHYSICIANS GROUP
General Practice
1071 MD RT 3 N
GAMBRILLS, MD 21054
Anne Arundel County (410) 721-2333
MERRITT LEIGH BAUMGARTNER PA-C
Physician Assistant
1071 MD RT 3 N
GAMBRILLS, MD 21054
Anne Arundel County (410) 721-2333
DR. ANTONINO BARBARO DDS
Dentist
1071 MD RT 3 N, SUITE 201
GAMBRILLS, MD 21054
Anne Arundel County (410) 721-8777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centennial Medical Group, PA's NPI number?

The NPI number for Centennial Medical Group, PA is 1033858832. It was assigned to this organization in the NPPES registry on May 31, 2022.

Where is Centennial Medical Group, PA located?

Centennial Medical Group, PA is located at 1071 MD Rt 3 N, Gambrills, MD 21054. The listed phone number is (410) 721-2333.

What is Centennial Medical Group, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Centennial Medical Group, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group, PA was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.