CENTERWELL SENIOR PRIMARY CARE-SOUTH SUMMERLIN
NPI 1881300507
Internal Medicine in Las Vegas, NV
About Centerwell Senior Primary Care-south Summerlin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERWELL SENIOR PRIMARY CARE-SOUTH SUMMERLIN (NPI 1881300507) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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-south Summerlin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
84Medicare enrollment records show 84 clinicians reassign Medicare billing to Centerwell Senior Primary Care-South Summerlin, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 31 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 84Source: 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 29D2284000
Centerwell Senior Primary Care- S Summerlin · Las Vegas, NVFrequently 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 PC's NPI number?
The NPI number for Centerwell Senior Primary Care Nv PC is 1881300507. It was assigned to this organization in the NPPES registry on January 26, 2023. The provider is doing business as Centerwell Senior Primary Care-South Summerlin.
Where is Centerwell Senior Primary Care Nv PC located?
Centerwell Senior Primary Care Nv PC is located at 10180 W Tropicana Ave Ste 136, Las Vegas, NV 89147. The listed phone number is (702) 848-3554.
What is Centerwell Senior Primary Care Nv PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Centerwell Senior Primary Care Nv PC enrolled in Medicare?
Yes. Centerwell Senior Primary Care Nv PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centerwell Senior Primary Care Nv PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 84 clinicians in 5 Medicare specialties reassign their Medicare billing to Centerwell Senior Primary Care Nv PC. 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 Family Practice (31), Nurse Practitioner (26) and Internal Medicine (15). Of these, 3 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Centerwell Senior Primary Care Nv PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2284000) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Centerwell Senior Primary Care Nv PC was last updated on February 15, 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-South Summerlin · NPI 1881300507
Internal Medicine organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since January 26, 2023.
## Identity
- **NPI:** 1881300507 (Entity type: Organization)
- **Enumerated:** January 26, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Centerwell Senior Primary Care Nv Pc
- **Organization subpart:** Yes (part of Centerwell Senior Primary Care Nv Pc)
- **Authorized official:** Angie Martinez, SENIOR CREDENTIALING PROFESSIONAL
## Practice location
- **Address:** 10180 W TROPICANA AVE STE 136, Las Vegas, NV 89147-8467
- **Phone:** (702) 848-3554 · **Fax:** (877) 891-6804
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 84 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (31), Nurse Practitioner (26), Internal Medicine (15); 3 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1881300507/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 15, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881300507) · Data from the CMS NPPES public registry.