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CENTERWELL SENIOR PRIMARY CARE KY CS PSC
NPI 1326903923
Family Medicine in Miami, FL

Active since December 17, 2025
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126(407) 447-7120 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, Dec 17, 2025 (2 updates tracked since 2025).

About Centerwell Senior Primary Care Ky Cs Psc NPPES

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

CENTERWELL SENIOR PRIMARY CARE KY CS PSC (NPI 1326903923) is a healthcare organization registered as a family medicine in Miami, Florida and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Louisville and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1326903923
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE KY CS PSC
Location Address6101 BLUE LAGOON DR STE 200Miami, FL 33126-3168
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120
Phone(407) 447-7120
Organization SubpartNo
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateDecember 17, 2025
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1326903923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedGeneral PracticeTaxonomy 208D00000X
6101 BLUE LAGOON DR STE 200, Miami, FL 33126
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Secondary Practice Location 1

Location 12950 W Market StLouisville, KY 40212-1860 · Phone (407) 447-7120

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 Ky Cs Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Centerwell Senior Primary Care Ky Cs Psc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Miller, D.O.
Family Practice
NPI 1558474130
4521 OUTER LOOP
Louisville, KY 40219
(502) 653-5206
✔ PECOS✔ Accepts Medicare908 mi

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 Ky Cs Psc's NPI number?

The NPI number for Centerwell Senior Primary Care Ky Cs Psc is 1326903923. It was assigned to this organization in the NPPES registry on December 17, 2025.

Where is Centerwell Senior Primary Care Ky Cs Psc located?

Centerwell Senior Primary Care Ky Cs Psc is located at 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126. The listed phone number is (407) 447-7120.

What is Centerwell Senior Primary Care Ky Cs Psc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Centerwell Senior Primary Care Ky Cs Psc enrolled in Medicare?

Yes. Centerwell Senior Primary Care Ky Cs Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centerwell Senior Primary Care Ky Cs Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Centerwell Senior Primary Care Ky Cs Psc. 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. 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 Ky Cs Psc was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.