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CENTERWELL SENIOR PRIMARY CARE-WEST CRAIG
NPI 1255954640
Internal Medicine in Las Vegas, NV

Active since May 20, 2020CLIA Certified · 2 labs
4919 W CRAIG RD, LAS VEGAS, NV 89130(725) 220-8706(833) 749-0366 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2024, Oct 20, 2022, Apr 9, 2021 and 4 more (7 updates tracked since 2020).

About Centerwell Senior Primary Care-west Craig NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERWELL SENIOR PRIMARY CARE-WEST CRAIG (NPI 1255954640) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since May 2020. The organization holds 2 active CLIA laboratory certificates and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1255954640
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NV) PC
Location Address4919 W CRAIG RDLas Vegas, NV 89130-2730
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(725) 220-8706
Fax(833) 749-0366
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMay 20, 2020
Last NPPES UpdateJuly 3, 20247 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1255954640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedGeneral PracticeTaxonomy 208D00000X
4919 W CRAIG RD, Las Vegas, NV 89130
Open in Google Maps ↗

Other Names 2

Doing Business AsCenterwell Senior Primary Care-west Craig
Former Legal Business NamePartners In Primary Care (nv) Pc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centerwell Senior Primary Care-west Craig is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

84

Medicare enrollment records show 84 clinicians reassign Medicare billing to Centerwell Senior Primary Care-West Craig, which bills Medicare for the services they deliver. Of these, 31 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice31
Nurse Practitioner26
Internal Medicine15
Cardiovascular Disease (Cardiology)11
Cardiac Electrophysiology1

Nearest to this location (20)

See all 84
Rose Heng
Family Practice
NPI 1235889486
3129 N RAINBOW BLVD
Las Vegas, NV 89108
(725) 220-8457
✔ PECOS✔ Accepts Medicare2.4 mi
Mahdi Moezzi, DO
Internal Medicine
NPI 1396429353
3129 N RAINBOW BLVD
Las Vegas, NV 89108
(725) 220-8457
✔ PECOS✔ Accepts Medicare2.4 mi
Jack Yang, MD
Family Practice
NPI 1720405830
3129 N RAINBOW BLVD
Las Vegas, NV 89108
(725) 220-8457
✔ PECOS✔ Accepts Medicare2.4 mi
Rachael Taylor, NURSE PRACTITIONER
Nurse Practitioner
NPI 1588818207
3129 N RAINBOW BLVD
Las Vegas, NV 89108
(725) 220-8457
✔ PECOS✔ Accepts Medicare2.5 mi
Shahida Khan
Nurse Practitioner
NPI 1316456247
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 233-4950
✔ PECOS✔ Accepts Medicare3.2 mi
Jerry Arellano, MD
Cardiovascular Disease (Cardiology)
NPI 1245372366
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.2 mi
Heather Ballantyne, APRN, FNP-C
Nurse Practitioner
NPI 1619532876
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.2 mi
Randy Ip, D.O.
Cardiac Electrophysiology
NPI 1023496957
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.2 mi
Alan Kletzky, M.D.
Internal Medicine
NPI 1770514408
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.2 mi
Inna Zdorovyak, MD
Family Practice
NPI 1437375433
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.2 mi
Douglas Budde, MD
Family Practice
NPI 1457321580
915 S RAINBOW BLVD
Las Vegas, NV 89145
(725) 220-8667
✔ PECOS✔ Accepts Medicare4.4 mi
Pauline Chao, MD
Internal Medicine
NPI 1912087305
915 S RAINBOW BLVD
Las Vegas, NV 89145
(725) 220-8667
✔ PECOS✔ Accepts Medicare4.4 mi
Greg Fihn, DO
Family Practice
NPI 1114013901
915 S RAINBOW BLVD
Las Vegas, NV 89145
(725) 220-8667
✔ PECOS✔ Accepts Medicare4.4 mi
Michelle Pelagio, FNP-C
Nurse Practitioner
NPI 1437931920
80 S MARTIN LUTHER KING BLVD STE 100
Las Vegas, NV 89106
(725) 228-4500
✔ PECOS✔ Accepts Medicare5.2 mi
Binh Tran, MD
Family Practice
NPI 1801998166
80 S MARTIN LUTHER KING BLVD STE 100
Las Vegas, NV 89106
(725) 228-4500
✔ PECOS✔ Accepts Medicare5.2 mi
Gabriel Estrada Sotomayor, MD
Family Practice
NPI 1235711326
2335 E LAKE MEAD BLVD
North Las Vegas, NV 89030
(702) 729-6739
✔ PECOS✔ Accepts Medicare5.9 mi
Liuver Rodriguez Marichal
Nurse Practitioner
NPI 1518501295
2335 E LAKE MEAD BLVD
North Las Vegas, NV 89030
(702) 840-2538
✔ PECOS✔ Accepts Medicare5.9 mi
Kasey Abanonu, MD
Internal Medicine
NPI 1609109644
2100 W CHARLESTON BLVD
Las Vegas, NV 89102
(702) 383-2000
✔ PECOS✔ Accepts Medicare5.9 mi
Cuong La, MD
Family Practice
NPI 1609442821
2335 E LAKE MEAD BLVD
North Las Vegas, NV 89030
(702) 840-2538
✔ PECOS✔ Accepts Medicare5.9 mi
Aaron Singh, DO
Internal Medicine
NPI 1235889031
1766 E CHARLESTON BLVD
Las Vegas, NV 89104
(702) 843-2440
✔ PECOS✔ Accepts Medicare7.2 mi
See all 84 clinicians

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 2

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 29D2212571

Centerwell Senior Primary Care- West Craig · Las Vegas, NV
Active · expires Feb 3, 2027
CLIA Number29D2212571
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorTracy Wakefield
Laboratory Phone(725) 220-8706
Laboratory LocationCenterwell Senior Primary Care- West Craig4919 W Craig Rd, Las Vegas, NV 89130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2199174

Centerwell Senior Primary Care - South Eastern · Las Vegas, NV
Active · expires Nov 4, 2026
CLIA Number29D2199174
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorTracy Wakefield
Laboratory Phone(725) 220-8706
Laboratory LocationCenterwell Senior Primary Care - South Eastern4813 S Eastern Ave, Las Vegas, NV 89119
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Centerwell Senior Primary Care (nv) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (nv) PC is 1255954640. It was assigned to this organization in the NPPES registry on May 20, 2020. The provider is doing business as Centerwell Senior Primary Care-West Craig. The provider was formerly known as Partners in Primary Care (NV) PC.

Where is Centerwell Senior Primary Care (nv) PC located?

Centerwell Senior Primary Care (nv) PC is located at 4919 W Craig Rd, Las Vegas, NV 89130. The listed phone number is (725) 220-8706.

What is Centerwell Senior Primary Care (nv) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Centerwell Senior Primary Care (nv) PC enrolled in Medicare?

Yes. Centerwell Senior Primary Care (nv) PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care (nv) PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 84 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care (nv) PC. 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 Family Practice (31), Nurse Practitioner (26) and Internal Medicine (15). Of these, 31 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Centerwell Senior Primary Care (nv) PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (nv) PC was last updated on July 3, 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.