CENTENNIAL MEDICAL GROUP, PA
NPI 1306477849
General Practice in Gambrills, 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 1306477849) is a healthcare organization registered as a general practice in Gambrills, Maryland and active in the NPI registry since February 2020. The organization lists Ron Elfenbein, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 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 1306477849. It was assigned to this organization in the NPPES registry on February 3, 2020. The provider is also known as Centennial Medical Group.
Where is Centennial Medical Group, PA located?
Centennial Medical Group, PA is located at 1071 MD Rt 3 N Ste 101, Gambrills, MD 21054. The listed phone number is (410) 721-2333.
What is Centennial Medical Group, PA's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
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 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 February 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 1306477849
General Practice organization in Gambrills, Maryland. Organization record, active in the CMS NPPES registry since February 3, 2020.
## Identity
- **NPI:** 1306477849 (Entity type: Organization)
- **Enumerated:** February 3, 2020
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Centennial Medical Group (Other Name)
- **Organization subpart:** Yes (part of Centennial Medical Group)
- **Authorized official:** Ron Elfenbein, MEDICAL DIRECTOR
## Practice location
- **Address:** 1071 MD RT 3 N STE 101, Gambrills, MD 21054-1784
- **Phone:** (410) 721-2333
## 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 within 10 miles; [full list](https://npiprofile.com/npi/1306477849/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1306477849) · Data from the CMS NPPES public registry.