SENTEF MEDICAL CENTER
NPI 1043418742
Clinic/Center in Ooltewah, TN

Active since July 05, 2007CLIA Certified · 2 labs
9380 BRADMORE LN STE 104, OOLTEWAH, TN 37363(423) 760-4630(423) 760-4631 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Sentef Medical Center NPPES

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

SENTEF MEDICAL CENTER (NPI 1043418742) is a healthcare organization registered as a clinic/center in Ooltewah, Tennessee and active in the NPI registry since July 2007. The organization holds 2 active CLIA laboratory certificates and lists Jeremy Plaster, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043418742
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSENTEF MEDICAL CENTER
Location Address9380 BRADMORE LN STE 104Ooltewah, TN 37363-4447
Mailing Address9380 Bradmore Ln Ste 104Ooltewah, TN 37363-4447 · (423) 760-4630 · Fax (423) 760-4631
Fax(423) 760-4631
Organization SubpartNo
Authorized OfficialJeremy PlasterPractice Manager · (237) 604-6304
Enumeration DateJuly 5, 2007
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1043418742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9380 BRADMORE LN STE 104, Ooltewah, TN 37363

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sentef Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Sentef Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1023597341
9380 BRADMORE LN
Ooltewah, TN 37363
(423) 760-4630
✔ PECOSSame address
Nurse Practitioner
NPI 1780144246
6740 LEE HWY
Chattanooga, TN 37421
(423) 553-9394
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1770838039
6740 LEE HWY
Chattanooga, TN 37421
(423) 553-9394
✔ PECOS7.1 mi
Nurse Practitioner
NPI 1992302038
725 GLENWOOD DR STE E490
Chattanooga, TN 37404
(423) 267-5060
✔ PECOS12 mi
Family Practice
NPI 1568504918
2725 KEITH ST NW
Cleveland, TN 37312
(423) 476-3330
✔ PECOS13 mi
Nurse Practitioner
NPI 1063858819
513 BENJAMIN WAY SUITE 200
Dalton, GA 30721
(716) 217-1795
✔ PECOS23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 44D2329991

Walliser Medical Center Dba Sentef Medical Center · Ooltewah, TN
Active · expires Sep 8, 2027
CLIA Number44D2329991
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorLauren E. Walliser
Laboratory Phone(423) 760-4630
Laboratory LocationWalliser Medical Center Dba Sentef Medical Center9380 Bradmore Lane Suite 104, Ooltewah, TN 37363
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2093431

Sentef Medical Centers · Ooltewah, TN
Active · expires Mar 26, 2027
CLIA Number44D2093431
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorGerard Mazza
Laboratory Phone(423) 553-9394
Laboratory LocationSentef Medical Centers9380 Bradmore Lane, Suite 104, Ooltewah, TN 37363
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Sentef Medical Center's NPI number?

The NPI number for Sentef Medical Center is 1043418742. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Sentef Medical Center located?

Sentef Medical Center is located at 9380 Bradmore Ln Ste 104, Ooltewah, TN 37363. The listed phone number is (423) 760-4630.

What is Sentef Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Sentef Medical Center enrolled in Medicare?

Yes. Sentef Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sentef Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Sentef Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sentef Medical Center 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 Sentef Medical Center was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.