CENTERWELL SENIOR PRIMARY CARE-IRVINGTON
NPI 1659071744
Internal Medicine in Indianapolis, IN

Active since March 07, 2023CLIA 15D2283295 · Waiver
5430 E WASHINGTON ST, INDIANAPOLIS, IN 46219(317) 969-7935(877) 964-5129 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2024, Aug 11, 2023, Mar 7, 2023 (3 updates tracked since 2023).

About Centerwell Senior Primary Care-irvington NPPES

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

CENTERWELL SENIOR PRIMARY CARE-IRVINGTON (NPI 1659071744) is a healthcare organization registered as an internal medicine in Indianapolis, Indiana and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1659071744
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE IN PC
Location Address5430 E WASHINGTON STIndianapolis, IN 46219-6446
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Fax(877) 964-5129
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateMarch 7, 2023
Last NPPES UpdateJuly 1, 20243 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1659071744 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
5430 E WASHINGTON ST, Indianapolis, IN 46219

Other Names 1

Doing Business AsCenterwell Senior Primary Care-irvington

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 15D2283295

Centerwell Senior Primary Care - Irvington · Indianapolis, IN
Active · expires Jun 5, 2027
CLIA Number15D2283295
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorDr. Erica Savage-Jeter
Laboratory Phone(317) 969-7935
Laboratory LocationCenterwell Senior Primary Care - Irvington5430 E Washington St, Indianapolis, IN 46219
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

Dentist (General Practice)
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219
Dentist
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219
Nurse Practitioner (Gerontology)
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219
Internal Medicine
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219
Dentist
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219
Dentist (General Practice)
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219
Dentist
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219
Dentist
5430 E WASHINGTON ST
INDIANAPOLIS, IN 46219

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 In PC's NPI number?

The NPI number for Centerwell Senior Primary Care In PC is 1659071744. It was assigned to this organization in the NPPES registry on March 7, 2023. The provider is doing business as Centerwell Senior Primary Care-Irvington.

Where is Centerwell Senior Primary Care In PC located?

Centerwell Senior Primary Care In PC is located at 5430 E Washington St, Indianapolis, IN 46219. The listed phone number is (317) 969-7935.

What is Centerwell Senior Primary Care In PC's specialty?

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

Does Centerwell Senior Primary Care In PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2283295) is associated with this NPI, valid through June 5, 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 In PC was last updated on July 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.