CENTENNIAL MEDICAL GROUP, PA
NPI 1245953009
Family Medicine in Ellicott City, MD
About Centennial Medical Group, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTENNIAL MEDICAL GROUP, PA (NPI 1245953009) is a healthcare organization registered as a family medicine in Ellicott City, Maryland and active in the NPI registry since September 2022. The organization lists Rajiv Dua, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centennial Medical Group, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Centennial Medical Group, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 41Source: 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, PA's NPI number?
The NPI number for Centennial Medical Group, PA is 1245953009. It was assigned to this organization in the NPPES registry on September 26, 2022.
Where is Centennial Medical Group, PA located?
Centennial Medical Group, PA is located at 10120 Baltimore National Pike, Ellicott City, MD 21042. The listed phone number is (410) 694-7999.
What is Centennial Medical Group, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Centennial Medical Group, PA enrolled in Medicare?
Yes. Centennial Medical Group, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centennial Medical Group, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 8 Medicare specialties reassign their Medicare billing to Centennial Medical Group, PA. 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 (20), Physical Therapist in Private Practice (7) and Family Practice (6). Of these, 1 practice at this address and 19 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, 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 2 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, Pa · NPI 1245953009
Family Medicine organization in Ellicott City, Maryland. Organization record, active in the CMS NPPES registry since September 26, 2022.
## Identity
- **NPI:** 1245953009 (Entity type: Organization)
- **Enumerated:** September 26, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Centennial Medical Group)
- **Authorized official:** Rajiv Dua, MEDICAL DIRECTOR
## Practice location
- **Address:** 10120 BALTIMORE NATIONAL PIKE, Ellicott City, MD 21042-3614
- **Phone:** (410) 694-7999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Physical Therapist in Private Practice (7), Family Practice (6); 1 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1245953009/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1245953009) · Data from the CMS NPPES public registry.