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CENTENNIAL MEDICAL GROUP, PA
NPI 1245953009
Family Medicine in Ellicott City, MD

Active since September 26, 2022
10120 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042(410) 694-7999 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2024, Sep 26, 2022 (2 updates tracked since 2022).

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

NPI1245953009
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTENNIAL MEDICAL GROUP, PA
Location Address10120 BALTIMORE NATIONAL PIKEEllicott City, MD 21042-3614
Mailing Address6230 Old Dobbin LnColumbia, MD 21045-5803 · (410) 730-3399
Phone(410) 694-7999
Organization SubpartYesParent: Centennial Medical Group
Authorized OfficialRajiv DuaMedical Director · (410) 730-3399
Enumeration DateSeptember 26, 2022
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1245953009 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
10120 BALTIMORE NATIONAL PIKE, Ellicott City, MD 21042
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

STELLA M BLAIS PA
Physician Assistant
10120 BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042
Howard County (410) 730-3399
FIRST CALL MEDICAL CENTER LLC
Clinic/Center (Urgent Care)
10120 BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042
Howard County (410) 694-7999
MR. EFRAHIM ANTONIO FERNANDEZ
Specialist
10120 BALTIMORE NATIONAL PIKE
ELLICOTT CITY, MD 21042
Howard County (410) 730-3399

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.

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 23 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.