CENTERWELL SENIOR PRIMARY CARE- DESOTO
NPI 1689491581
Internal Medicine in Desoto, TX
About Centerwell Senior Primary Care- Desoto NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE- DESOTO (NPI 1689491581) is a healthcare organization registered as an internal medicine in Desoto, Texas and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
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- Desoto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
156Medicare enrollment records show 156 clinicians reassign Medicare billing to Centerwell Senior Primary Care- Desoto, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 156Dallas, TX 75235
Dallas, TX 75217
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 45D2321342
Centerwell Senior Primary Care (tx) PA Dba Centerwell Senior Primary Care - Desoto · Desoto, TXFrequently 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 1689491581. It was assigned to this organization in the NPPES registry on September 23, 2024. The provider is doing business as Centerwell Senior Primary Care- Desoto.
Where is Centerwell Senior Primary Care (tx) PA located?
Centerwell Senior Primary Care (tx) PA is located at 951 W Belt Line Rd Ste 100, Desoto, TX 75115. The listed phone number is (972) 734-8092.
What is Centerwell Senior Primary Care (tx) PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care (tx) PA enrolled in Medicare?
Yes. Centerwell Senior Primary Care (tx) PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care (tx) PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 156 clinicians in 7 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care (tx) 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 (65), Family Practice (43) and Internal Medicine (30). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care (tx) PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2321342) is associated with this NPI, valid through April 1, 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 December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Centerwell Senior Primary Care- Desoto · NPI 1689491581
Internal Medicine organization in Desoto, Texas. Organization record, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1689491581 (Entity type: Organization)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Centerwell Senior Primary Care (tx) Pa
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care (tx) Pa)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 951 W BELT LINE RD STE 100, Desoto, TX 75115-3737
- **Phone:** (972) 734-8092 · **Fax:** (214) 306-8192
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 156 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (65), Family Practice (43), Internal Medicine (30); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1689491581/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689491581) · Data from the CMS NPPES public registry.