CENTERVILLE CLINICS INC
NPI 1164064002
Clinic/Center - Federally Qualified Health Center (FQHC) in Donora, PA
About Centerville Clinics Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERVILLE CLINICS INC (NPI 1164064002) is a healthcare organization registered as a federally qualified health center (fqhc) in Donora, Pennsylvania and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Barry R Niccolai, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centerville Clinics Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
88Medicare enrollment records show 88 clinicians reassign Medicare billing to Centerville Clinics Inc, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 88Pittsburgh, PA 15232
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
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 39D2176313
Centerville Clinics - Donora · Donora, PAFrequently 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 Centerville Clinics Inc's NPI number?
The NPI number for Centerville Clinics Inc is 1164064002. It was assigned to this organization in the NPPES registry on October 11, 2019.
Where is Centerville Clinics Inc located?
Centerville Clinics Inc is located at 570 Galiffa Dr, Donora, PA 15033. The listed phone number is (724) 379-4401.
What is Centerville Clinics Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Centerville Clinics Inc enrolled in Medicare?
Yes. Centerville Clinics Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerville Clinics Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 88 clinicians in 7 Medicare specialties reassign their Medicare billing to Centerville Clinics Inc. 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 (42), Family Practice (31) and Cardiovascular Disease (Cardiology) (5). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerville Clinics Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2176313) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Centerville Clinics Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Centerville Clinics Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Centerville Clinics Inc was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.
# Centerville Clinics Inc · NPI 1164064002
Federally Qualified Health Center (FQHC) organization in Donora, Pennsylvania. Organization record, active in the CMS NPPES registry since October 11, 2019.
## Identity
- **NPI:** 1164064002 (Entity type: Organization)
- **Enumerated:** October 11, 2019
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Barry Niccolai, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 570 GALIFFA DR, Donora, PA 15033-1385
- **Phone:** (724) 379-4401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 88 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (42), Family Practice (31), Cardiovascular Disease (Cardiology) (5); 12 practice within 10 miles; [full list](https://npiprofile.com/npi/1164064002/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2026
- **Other identifiers:** Medicaid 1007288440027 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164064002) · Data from the CMS NPPES public registry.