CENTERWELL SENIOR PRIMARY CARE VA PLLC
NPI 1821798141
Internal Medicine in Henrico, VA
About Centerwell Senior Primary Care Va Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE VA PLLC (NPI 1821798141), doing business as Centerwell Senior Primary Care Va Pc, is a healthcare organization registered as an internal medicine in Henrico, Virginia and active in the NPI registry since March 2023. 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 2
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 Va Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
51Medicare enrollment records show 51 clinicians reassign Medicare billing to Centerwell Senior Primary Care VA PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 51Source: 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 49D2281921
Centerwell Senior Primary Care-South Laburnum · Henrico, VACertificate of Waiver 49D2286059
Centerwell Senior Primary Care-Brook Road · Richmond, VAFrequently 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 VA PLLC's NPI number?
The NPI number for Centerwell Senior Primary Care VA PLLC is 1821798141. It was assigned to this organization in the NPPES registry on March 6, 2023. The provider is doing business as CenterWell Senior Primary Care-South Laburnum. The provider was formerly known as Centerwell Senior Primary Care VA PC.
Where is Centerwell Senior Primary Care VA PLLC located?
Centerwell Senior Primary Care VA PLLC is located at 4722 S Laburnum Ave, Henrico, VA 23231. The listed phone number is (804) 604-2430.
What is Centerwell Senior Primary Care VA PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care VA PLLC enrolled in Medicare?
Yes. Centerwell Senior Primary Care VA PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care VA PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 8 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care VA 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 (15), Family Practice (14) and Cardiovascular Disease (Cardiology) (10). Of these, 4 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care VA PLLC 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 VA PLLC was last updated on August 19, 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 Va Pllc · NPI 1821798141
Internal Medicine organization in Henrico, Virginia. Organization record, active in the CMS NPPES registry since March 6, 2023.
## Identity
- **NPI:** 1821798141 (Entity type: Organization)
- **Enumerated:** March 6, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** CenterWell Senior Primary Care-South Laburnum (Doing Business As)
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Va Pllc)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 4722 S LABURNUM AVE, Henrico, VA 23231-2712
- **Phone:** (804) 604-2430 · **Fax:** (877) 471-2996
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 51 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (14), Cardiovascular Disease (Cardiology) (10); 4 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1821798141/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 19, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821798141) · Data from the CMS NPPES public registry.