CENTENNIAL MEDICAL GROUP LLP
NPI 1073619359
Pain Medicine - Interventional Pain Medicine in Las Vegas, NV
About Centennial Medical Group Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTENNIAL MEDICAL GROUP LLP (NPI 1073619359) is a healthcare organization registered as an interventional pain medicine in Las Vegas, Nevada and active in the NPI registry since September 2006. The organization lists David Lanzkowsky, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centennial Medical Group Llp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Centennial Medical Group LLP, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (17)
Hallandale Beach, FL 33009
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 LLP's NPI number?
The NPI number for Centennial Medical Group LLP is 1073619359. It was assigned to this organization in the NPPES registry on September 15, 2006.
Where is Centennial Medical Group LLP located?
Centennial Medical Group LLP is located at 4454 N Decatur Blvd, Las Vegas, NV 89130. The listed phone number is (702) 507-0996.
What is Centennial Medical Group LLP's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Centennial Medical Group LLP enrolled in Medicare?
Yes. Centennial Medical Group LLP is registered in the Medicare PECOS enrollment system.
When is Centennial Medical Group LLP's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Nevada, Multi-Specialty - Physician) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Centennial Medical Group LLP?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 6 Medicare specialties reassign their Medicare billing to Centennial Medical Group LLP. 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 (6), Pain Management (4) and Anesthesiology (3). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Centennial Medical Group LLP was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Centennial Medical Group Llp · NPI 1073619359
Interventional Pain Medicine organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since September 15, 2006.
## Identity
- **NPI:** 1073619359 (Entity type: Organization)
- **Enumerated:** September 15, 2006
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** David Lanzkowsky, OWNER
## Practice location
- **Address:** 4454 N DECATUR BLVD, Las Vegas, NV 89130
- **Phone:** (702) 507-0996 · **Fax:** (702) 507-0992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Nevada, Multi-Specialty - Physician) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Pain Management (4), Anesthesiology (3); 6 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1073619359) · Data from the CMS NPPES public registry.