CENTRUM MEDICAL GROUP PLLC
NPI 1346980877
General Practice in Mesquite, TX

Active since March 31, 2022
2698 N GALLOWAY AVE STE 105, MESQUITE, TX 75150(800) 218-8989(786) 558-0242 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Centrum Medical Group Pllc NPPES

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

CENTRUM MEDICAL GROUP PLLC (NPI 1346980877) is a healthcare organization registered as a general practice in Mesquite, Texas and active in the NPI registry since March 2022. The organization lists Graciela Victorero, Coo, as its authorized official.

NPPES Registry Identity

NPI1346980877
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCENTRUM MEDICAL GROUP PLLC
Location Address2698 N GALLOWAY AVE STE 105Mesquite, TX 75150-6387
Mailing Address9250 Nw 36th St Ste 420Doral, FL 33178-2775 · (305) 266-2929
Fax(786) 558-0242
Organization SubpartNo
Authorized OfficialGraciela VictoreroCoo · (305) 266-2929
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1346980877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2698 N GALLOWAY AVE STE 105, Mesquite, TX 75150

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)

Centrum Medical Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Centrum Medical Group PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner28
Family Practice6
Internal Medicine4
General Practice1

Nearest to this location (20)

See all 39
Nurse Practitioner
NPI 1730652538
3453 SAINT FRANCIS AVE
Dallas, TX 75228
(214) 660-1833
✔ PECOS4.9 mi
Family Practice
NPI 1609337583
9330 POPPY DR STE 300
Dallas, TX 75218
(214) 945-2491
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1053977561
2636 W WALNUT ST
Garland, TX 75042
(972) 487-5800
✔ PECOS8.6 mi
Family Practice
NPI 1154578243
10455 N CENTRAL EXPY STE 110
Dallas, TX 75231
(469) 527-5824
✔ PECOS11 mi
Nurse Practitioner
NPI 1316550239
10455 N CENTRAL EXPY STE 110
Dallas, TX 75231
(469) 527-5824
✔ PECOS✔ Accepts Medicare11 mi
Internal Medicine
NPI 1053331942
2909 S HAMPTON RD SUITE E123
Dallas, TX 75224
(469) 485-2754
✔ PECOS16 mi
Family Practice
NPI 1821029307
14860 MONTFORT DR SUITE 115, LB 32
Dallas, TX 75254
(469) 431-5656
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1265404065
3410 PRESIDENT GEORGE BUSH TPKE
Dallas, TX 75287
(305) 266-2929
✔ PECOS19 mi
Nurse Practitioner
NPI 1013591569
906 W MCDERMOTT DR STE 124
Allen, TX 75013
(469) 564-1026
✔ PECOS21 mi
Nurse Practitioner
NPI 1609538743
4801 MEDICAL CENTER DR
Mckinney, TX 75069
(972) 369-4220
✔ PECOS25 mi
Internal Medicine
NPI 1841650041
7750 PRESTON RD STE 1501
Frisco, TX 75034
(214) 618-0297
✔ PECOS26 mi
Nurse Practitioner
NPI 1790318731
2355 E GRAPEVINE MILLS CIR
Grapevine, TX 76051
(318) 344-1690
✔ PECOS27 mi
Nurse Practitioner
NPI 1609345966
2355 E GRAPEVINE MILLS CIR
Grapevine, TX 76051
(214) 206-4706
✔ PECOS27 mi
Nurse Practitioner
NPI 1770926123
524 WADE CT
Euless, TX 76039
(469) 569-6558
✔ PECOS28 mi
Nurse Practitioner
NPI 1538634035
4700 LITTLE RD
Arlington, TX 76017
(832) 445-4777
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1174296545
4700 LITTLE RD
Arlington, TX 76017
(832) 445-4777
✔ PECOS36 mi
Nurse Practitioner
NPI 1144825787
4700 LITTLE RD
Arlington, TX 76017
(214) 206-4706
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1790499689
9100 ZUBIA LN
Fort Worth, TX 76131
(817) 501-5567
✔ PECOS✔ Accepts Medicare43 mi
Internal Medicine
NPI 1982869293
4894 LOUETTA RD
Spring, TX 77388
(832) 937-5904
✔ PECOS201 mi
Nurse Practitioner
NPI 1083316988
4894 LOUETTA RD
Spring, TX 77388
(832) 937-5904
✔ PECOS201 mi
See all 39 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 Centrum Medical Group PLLC's NPI number?

The NPI number for Centrum Medical Group PLLC is 1346980877. It was assigned to this organization in the NPPES registry on March 31, 2022.

Where is Centrum Medical Group PLLC located?

Centrum Medical Group PLLC is located at 2698 N Galloway Ave Ste 105, Mesquite, TX 75150. The listed phone number is (800) 218-8989.

What is Centrum Medical Group PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Centrum Medical Group PLLC enrolled in Medicare?

Yes. Centrum Medical Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centrum Medical Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 4 Medicare specialties reassign their Medicare billing to Centrum Medical Group PLLC. 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 (28), Family Practice (6) and Internal Medicine (4). Of these, 3 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 Centrum Medical Group PLLC was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.