CENTERWELL SENIOR PRIMARY CARE-RICHMOND ROAD
NPI 1790492783
Internal Medicine in Lexington, KY
About Centerwell Senior Primary Care-richmond Road NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE-RICHMOND ROAD (NPI 1790492783) is a healthcare organization registered as an internal medicine in Lexington, Kentucky and active in the NPI registry since October 2022. The organization holds 2 active CLIA laboratory certificates 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-richmond Road is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
50Medicare enrollment records show 50 clinicians reassign Medicare billing to Centerwell Senior Primary Care-Richmond Road, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 50Shelbyville, KY 40065
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 2
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 18D2276887
Centerwell Senior Primary Care - Richmond Road · Lexington, KYCertificate of Waiver 18D2278841
Centerwell Senior Primary Care - Regency Centre · Lexington, KYFrequently 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 Ky Psc's NPI number?
The NPI number for Centerwell Senior Primary Care Ky Psc is 1790492783. It was assigned to this organization in the NPPES registry on October 31, 2022. The provider is doing business as Centerwell Senior Primary Care-Richmond Road.
Where is Centerwell Senior Primary Care Ky Psc located?
Centerwell Senior Primary Care Ky Psc is located at 3101 Richmond Rd Ste 190, Lexington, KY 40509. The listed phone number is (859) 309-7613.
What is Centerwell Senior Primary Care Ky Psc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care Ky Psc enrolled in Medicare?
Yes. Centerwell Senior Primary Care Ky Psc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care Ky Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Ky Psc. 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), Internal Medicine (12) and Cardiovascular Disease (Cardiology) (9). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care Ky Psc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Centerwell Senior Primary Care Ky Psc was last updated on August 22, 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.
# Centerwell Senior Primary Care-Richmond Road · NPI 1790492783
Internal Medicine organization in Lexington, Kentucky. Organization record, active in the CMS NPPES registry since October 31, 2022.
## Identity
- **NPI:** 1790492783 (Entity type: Organization)
- **Enumerated:** October 31, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Centerwell Senior Primary Care Ky Psc
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Ky Psc)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 3101 RICHMOND RD STE 190, Lexington, KY 40509-1525
- **Phone:** (859) 309-7613 · **Fax:** (877) 722-0592
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 50 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Internal Medicine (12), Cardiovascular Disease (Cardiology) (9); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1790492783/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790492783) · Data from the CMS NPPES public registry.