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CENTENNIAL MEDICAL GROUP, PA
NPI 1093584930
Family Medicine in Burtonsville, MD

Active since December 20, 2023
15646 OLD COLUMBIA PIKE, BURTONSVILLE, MD 20866(410) 730-3399(443) 478-4747 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 1093584930) is a healthcare organization registered as a family medicine in Burtonsville, Maryland and active in the NPI registry since December 2023. The organization lists Rajiv Dua, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093584930
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTENNIAL MEDICAL GROUP, PA
Location Address15646 OLD COLUMBIA PIKEBurtonsville, MD 20866-1630
Mailing Address6230 Old Dobbin LnColumbia, MD 21045-5803 · (410) 730-3399 · Fax (443) 478-4737
Phone(410) 730-3399
Fax(443) 478-4747
Organization SubpartNo
Authorized OfficialRajiv DuaMedical Director · (410) 730-3399
Enumeration DateDecember 20, 2023
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1093584930 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
15646 OLD COLUMBIA PIKE, Burtonsville, MD 20866
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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

Other Providers at the Same Location NPPES 6

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

HANNAH ACQUAH NP-C
Nurse Practitioner (Psychiatric/Mental Health)
15646 OLD COLUMBIA PIKE
BURTONSVILLE, MD 20866
Montgomery County (301) 421-1214
MRS. NATALIE ANGELE JARIAN MORALES MS, FNP-C
Nurse Practitioner (Family)
15646 OLD COLUMBIA PIKE
BURTONSVILLE, MD 20866
Montgomery County (301) 421-1214
WASEELA HEALTH LLC
Clinic/Center (Urgent Care)
15646 OLD COLUMBIA PIKE
BURTONSVILLE, MD 20866
Montgomery County (301) 421-1214
PPNS
Clinic/Center (Urgent Care)
15646 OLD COLUMBIA PIKE
BURTONSVILLE, MD 20866
Montgomery County (301) 421-1214
FIRST CALL MEDICAL CENTER LLC
Clinic/Center (Urgent Care)
15646 OLD COLUMBIA PIKE
BURTONSVILLE, MD 20866
Montgomery County (301) 421-1214
MS. DHOHA ABDULMONEAM ALHASHIM PA-C
Physician Assistant
15646 OLD COLUMBIA PIKE
BURTONSVILLE, MD 20866
Montgomery County (301) 421-1214

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 1093584930. It was assigned to this organization in the NPPES registry on December 20, 2023.

Where is Centennial Medical Group, PA located?

Centennial Medical Group, PA is located at 15646 Old Columbia Pike, Burtonsville, MD 20866. The listed phone number is (410) 730-3399.

What is Centennial Medical Group, PA's specialty?

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

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.