CENTERWELL SENIOR PRIMARY CARE NV CS PC
NPI 1801682257
Internal Medicine in Las Vegas, NV

Active since April 15, 2025
4001 S DECATUR BLVD STE 25, LAS VEGAS, NV 89103(725) 224-6967 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centerwell Senior Primary Care Nv Cs Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE NV CS PC (NPI 1801682257) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since April 2025. The organization maintains a secondary practice location in Miami and lists Angie S Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1801682257
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE NV CS PC
Location Address4001 S DECATUR BLVD STE 25Las Vegas, NV 89103-5857
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (407) 447-7120
Organization SubpartNo
Authorized OfficialAngie S MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateApril 15, 2025
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
NPI 1801682257 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
4001 S DECATUR BLVD STE 25, Las Vegas, NV 89103

Secondary Practice Location 1

Location 16101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · Phone (407) 447-7120

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

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Internal Medicine
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Social Worker (Clinical)
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Nurse Practitioner
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Nurse Practitioner (Acute Care)
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
Nurse Practitioner (Family)
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103
General Practice
4001 S DECATUR BLVD STE 25
LAS VEGAS, NV 89103

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 Nv Cs PC's NPI number?

The NPI number for Centerwell Senior Primary Care Nv Cs PC is 1801682257. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Centerwell Senior Primary Care Nv Cs PC located?

Centerwell Senior Primary Care Nv Cs PC is located at 4001 S Decatur Blvd Ste 25, Las Vegas, NV 89103. The listed phone number is (725) 224-6967.

What is Centerwell Senior Primary Care Nv Cs PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care Nv Cs PC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.