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CENTENNIAL MEDICAL GROUP IL LLC
NPI 1831077528
Pain Medicine - Interventional Pain Medicine in Chicago, IL

Active since August 22, 2025
4211 N CICERO AVE STE 400, CHICAGO, IL 60641(702) 839-1203 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Centennial Medical Group Il Llc NPPES

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

CENTENNIAL MEDICAL GROUP IL LLC (NPI 1831077528) is a healthcare organization registered as an interventional pain medicine in Chicago, Illinois and active in the NPI registry since August 2025. The organization lists David Lanzkowsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1831077528
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCENTENNIAL MEDICAL GROUP IL LLC
Location Address4211 N CICERO AVE STE 400Chicago, IL 60641-1649
Mailing Address4454 N Decatur BlvdLas Vegas, NV 89130-5286
Phone(702) 839-1203
Organization SubpartNo
Authorized OfficialDavid LanzkowskyOwner · (702) 839-1203
Enumeration DateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1831077528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
4211 N CICERO AVE STE 400, Chicago, IL 60641
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centennial Medical Group Il Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Centennial Medical Group Il LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christopher Harb, DO
Orthopedic Surgery
NPI 1982269429
1600 SW ARCHER RD
Gainesville, FL 32610
(352) 273-8610
✔ PECOS✔ Accepts Medicare901 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Centennial Medical Group Il LLC's NPI number?

The NPI number for Centennial Medical Group Il LLC is 1831077528. It was assigned to this organization in the NPPES registry on August 22, 2025.

Where is Centennial Medical Group Il LLC located?

Centennial Medical Group Il LLC is located at 4211 N Cicero Ave Ste 400, Chicago, IL 60641. The listed phone number is (702) 839-1203.

What is Centennial Medical Group Il LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Centennial Medical Group Il LLC enrolled in Medicare?

Yes. Centennial Medical Group Il LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centennial Medical Group Il LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Centennial Medical Group Il LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centennial Medical Group Il LLC was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.