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CENTERWELL SENIOR PRIMARY CARE-RICHARDSON
NPI 1396441481
Internal Medicine in Richardson, TX

Active since February 01, 2023CLIA 45D2283399 · Waiver
1332 S PLANO RD STE 550, RICHARDSON, TX 75081(972) 619-3988(877) 690-5763 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2023, Feb 1, 2023 (2 updates tracked since 2023).

About Centerwell Senior Primary Care-richardson NPPES

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

CENTERWELL SENIOR PRIMARY CARE-RICHARDSON (NPI 1396441481) is a healthcare organization registered as an internal medicine in Richardson, Texas and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1396441481
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE TX PA
Location Address1332 S PLANO RD STE 550Richardson, TX 75081-5956
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(972) 619-3988
Fax(877) 690-5763
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateFebruary 1, 2023
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1396441481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedGeneral PracticeTaxonomy 208D00000X
1332 S PLANO RD STE 550, Richardson, TX 75081
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-richardson

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

CLIA Laboratory Certificates CMS CLIA

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 45D2283399

Centerwell Senior Primary Care - Richardson · Richardson, TX
Active · expires Jun 6, 2027
CLIA Number45D2283399
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorAn Thien Tang
Laboratory Phone(972) 619-3988
Laboratory LocationCenterwell Senior Primary Care - Richardson1332 S Plano Rd Suite 600A, Richardson, TX 75081
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAUL NORK KARKORIAN M.D.
Internal Medicine
1332 S PLANO RD STE 550
RICHARDSON, TX 75081
Dallas County (972) 619-3988

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 Tx PA's NPI number?

The NPI number for Centerwell Senior Primary Care Tx PA is 1396441481. It was assigned to this organization in the NPPES registry on February 1, 2023. The provider is doing business as Centerwell Senior Primary Care-Richardson.

Where is Centerwell Senior Primary Care Tx PA located?

Centerwell Senior Primary Care Tx PA is located at 1332 S Plano Rd Ste 550, Richardson, TX 75081. The listed phone number is (972) 619-3988.

What is Centerwell Senior Primary Care Tx PA's specialty?

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

Does Centerwell Senior Primary Care Tx PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2283399) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Tx PA was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.