CENTRUM MEDICAL GROUP, PLLC
NPI 1801549787
General Practice in Spring, TX
About Centrum Medical Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRUM MEDICAL GROUP, PLLC (NPI 1801549787) is a healthcare organization registered as a general practice in Spring, Texas and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Graciela Victorero, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Centrum Medical Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
39Medicare enrollment records show 39 clinicians reassign Medicare billing to Centrum Medical Group, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 39Source: 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 45D2260878
Centrum Medical Group, PLLC · Spring, 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 Centrum Medical Group, PLLC's NPI number?
The NPI number for Centrum Medical Group, PLLC is 1801549787. It was assigned to this organization in the NPPES registry on January 31, 2022.
Where is Centrum Medical Group, PLLC located?
Centrum Medical Group, PLLC is located at 4894 Louetta Rd, Spring, TX 77388. The listed phone number is (800) 218-8989.
What is Centrum Medical Group, PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Centrum Medical Group, PLLC enrolled in Medicare?
Yes. Centrum Medical Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centrum Medical Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 4 Medicare specialties reassign their Medicare billing to Centrum Medical Group, PLLC. 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 (28), Family Practice (6) and Internal Medicine (4). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centrum Medical Group, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2260878) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Centrum Medical Group, PLLC was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Centrum Medical Group, Pllc · NPI 1801549787
General Practice organization in Spring, Texas. Organization record, active in the CMS NPPES registry since January 31, 2022.
## Identity
- **NPI:** 1801549787 (Entity type: Organization)
- **Enumerated:** January 31, 2022
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Graciela Victorero, COO
## Practice location
- **Address:** 4894 LOUETTA RD, Spring, TX 77388-4421
- **Phone:** (800) 218-8989 · **Fax:** (786) 558-0242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 39 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Family Practice (6), Internal Medicine (4); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1801549787/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801549787) · Data from the CMS NPPES public registry.