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CENTERWELL SENIOR PRIMARY CARE-RANCHO
NPI 1265211429
Internal Medicine in North Las Vegas, NV

Active since September 27, 2023
3860 W LAKE MEAD BLVD STE 100, NORTH LAS VEGAS, NV 89032(702) 673-5471(888) 481-1462 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Centerwell Senior Primary Care-rancho NPPES

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

CENTERWELL SENIOR PRIMARY CARE-RANCHO (NPI 1265211429) is a healthcare organization registered as an internal medicine in North Las Vegas, Nevada and active in the NPI registry since September 2023. The organization lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1265211429
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (NV) PC
Location Address3860 W LAKE MEAD BLVD STE 100North Las Vegas, NV 89032-5203
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(702) 673-5471
Fax(888) 481-1462
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateSeptember 27, 2023
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1265211429 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
3860 W LAKE MEAD BLVD STE 100, North Las Vegas, NV 89032
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-rancho

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-rancho 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-Rancho, which bills Medicare for the services they deliver. Of these, 50 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
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 Medicare2.4 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 Medicare2.4 mi
Kasey Abanonu, MD
Internal Medicine
NPI 1609109644
2100 W CHARLESTON BLVD
Las Vegas, NV 89102
(702) 383-2000
✔ PECOS✔ Accepts Medicare3.0 mi
Rose Heng
Family Practice
NPI 1235889486
3129 N RAINBOW BLVD
Las Vegas, NV 89108
(725) 220-8457
✔ PECOS✔ Accepts Medicare3.1 mi
Mahdi Moezzi, DO
Internal Medicine
NPI 1396429353
3129 N RAINBOW BLVD
Las Vegas, NV 89108
(725) 220-8457
✔ PECOS✔ Accepts Medicare3.1 mi
Jack Yang, MD
Family Practice
NPI 1720405830
3129 N RAINBOW BLVD
Las Vegas, NV 89108
(725) 220-8457
✔ PECOS✔ Accepts Medicare3.1 mi
Douglas Budde, MD
Family Practice
NPI 1457321580
915 S RAINBOW BLVD
Las Vegas, NV 89145
(725) 220-8667
✔ PECOS✔ Accepts Medicare3.2 mi
Pauline Chao, MD
Internal Medicine
NPI 1912087305
915 S RAINBOW BLVD
Las Vegas, NV 89145
(725) 220-8667
✔ PECOS✔ Accepts Medicare3.2 mi
Greg Fihn, DO
Family Practice
NPI 1114013901
915 S RAINBOW BLVD
Las Vegas, NV 89145
(725) 220-8667
✔ PECOS✔ Accepts Medicare3.2 mi
Rachael Taylor, NURSE PRACTITIONER
Nurse Practitioner
NPI 1588818207
3129 N RAINBOW BLVD
Las Vegas, NV 89108
(725) 220-8457
✔ 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 Medicare3.5 mi
Heather Ballantyne, APRN, FNP-C
Nurse Practitioner
NPI 1619532876
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.5 mi
Randy Ip, D.O.
Cardiac Electrophysiology
NPI 1023496957
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.5 mi
Alan Kletzky, M.D.
Internal Medicine
NPI 1770514408
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.5 mi
Inna Zdorovyak, MD
Family Practice
NPI 1437375433
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 240-8155
✔ PECOS✔ Accepts Medicare3.5 mi
Shahida Khan
Nurse Practitioner
NPI 1316456247
2601 N TENAYA WAY
Las Vegas, NV 89128
(702) 233-4950
✔ PECOS✔ Accepts Medicare3.5 mi
Gabriel Estrada Sotomayor, MD
Family Practice
NPI 1235711326
2335 E LAKE MEAD BLVD
North Las Vegas, NV 89030
(702) 729-6739
✔ PECOS✔ Accepts Medicare4.0 mi
Liuver Rodriguez Marichal
Nurse Practitioner
NPI 1518501295
2335 E LAKE MEAD BLVD
North Las Vegas, NV 89030
(702) 840-2538
✔ PECOS✔ Accepts Medicare4.0 mi
Cuong La, MD
Family Practice
NPI 1609442821
2335 E LAKE MEAD BLVD
North Las Vegas, NV 89030
(702) 840-2538
✔ PECOS✔ Accepts Medicare4.1 mi
Aaron Singh, DO
Internal Medicine
NPI 1235889031
1766 E CHARLESTON BLVD
Las Vegas, NV 89104
(702) 843-2440
✔ PECOS✔ Accepts Medicare4.5 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.

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 1265211429. It was assigned to this organization in the NPPES registry on September 27, 2023. The provider is doing business as Centerwell Senior Primary Care-Rancho.

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

Centerwell Senior Primary Care (nv) PC is located at 3860 W Lake Mead Blvd Ste 100, North Las Vegas, NV 89032. The listed phone number is (702) 673-5471.

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, 50 practice 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 Centerwell Senior Primary Care (nv) PC was last updated on February 15, 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.