CENTENNIAL MEDICAL GROUP, PA
NPI 1477338325
Clinic/Center - Physical Therapy in Elkridge, MD

Active since August 29, 2023
6742 DORSEY RD, ELKRIDGE, MD 21075(443) 698-8664(443) 338-8860 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Aug 30, 2023 (2 updates tracked since 2023).

About Centennial Medical Group, Pa NPPES

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

CENTENNIAL MEDICAL GROUP, PA (NPI 1477338325) is a healthcare organization registered as a physical therapy in Elkridge, Maryland and active in the NPI registry since August 2023. The organization lists Rajiv Dua, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1477338325
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameCENTENNIAL MEDICAL GROUP, PA
Location Address6742 DORSEY RDElkridge, MD 21075-6205
Mailing Address8186 Lark Brown RdElkridge, MD 21075-6433 · (410) 730-3399
Fax(443) 338-8860
Organization SubpartYes
Authorized OfficialRajiv DuaMedical Director · (410) 730-3399
Enumeration DateAugust 29, 2023
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1477338325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
6742 DORSEY RD, Elkridge, MD 21075

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

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to Centennial Medical Group, PA, which bills Medicare for the services they deliver. Of these, 21 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner20
Physical Therapist in Private Practice7
Family Practice6
Internal Medicine4
Cardiovascular Disease (Cardiology)1
Emergency Medicine1
Pediatric Medicine1
Psychiatry1

Nearest to this location (20)

See all 41
Physical Therapist in Private Practice
NPI 1932195872
8174 LARK BROWN RD SUITE 101
Elkridge, MD 21075
(410) 799-9988
✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1023625381
6480 OLD WATERLOO RD
Elkridge, MD 21075
(410) 799-0291
✔ PECOS✔ Accepts Medicare2.0 mi
Physical Therapist in Private Practice
NPI 1689026734
8186 LARK BROWN RD STE 302
Elkridge, MD 21075
(410) 730-3399
✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1144202383
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1225117211
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Internal Medicine
NPI 1487904702
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1043326945
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Internal Medicine
NPI 1023124922
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1447267661
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1922419464
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1932050143
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1881883205
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1538510375
6250 OLD DOBBIN LN
Columbia, MD 21045
(410) 730-3399
✔ PECOS✔ Accepts Medicare3.2 mi
Internal Medicine
NPI 1578571618
4801 DORSEY HALL DR STE 201
Ellicott City, MD 21042
(410) 997-7660
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1093704652
4801 DORSEY HALL DR SUITE 201
Ellicott City, MD 21042
(410) 997-7660
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1508311150
7962 COVINGTON AVE
Glen Burnie, MD 21061
(410) 245-1806
✔ PECOS✔ Accepts Medicare7.0 mi
Nurse Practitioner
NPI 1194322636
5755 CEDAR LN
Columbia, MD 21044
(410) 740-7890
✔ PECOS✔ Accepts Medicare7.1 mi
Physical Therapist in Private Practice
NPI 1568686426
10981 JOHNS HOPKINS RD
Laurel, MD 20723
(410) 730-3399
✔ Accepts Medicare7.5 mi
Pediatric Medicine
NPI 1811956808
900 CATON AVE BOX #065
Baltimore, MD 21229
(410) 368-2011
✔ PECOS7.6 mi
Physical Therapist in Private Practice
NPI 1942886908
10120 BALTIMORE NATIONAL PIKE
Ellicott City, MD 21042
(410) 730-3399
✔ Accepts Medicare8.6 mi
See all 41 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 Centennial Medical Group, PA's NPI number?

The NPI number for Centennial Medical Group, PA is 1477338325. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Centennial Medical Group, PA located?

Centennial Medical Group, PA is located at 6742 Dorsey Rd, Elkridge, MD 21075. The listed phone number is (443) 698-8664.

What is Centennial Medical Group, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

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, 21 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 September 18, 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.