1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Internal Medicine
  6. NPI Profile

CENTERWELL SENIOR PRIMARY CARE-SOUTH SUMMERLIN
NPI 1881300507
Internal Medicine in Las Vegas, NV

Active since January 26, 2023CLIA 29D2284000 · Waiver
10180 W TROPICANA AVE STE 136, LAS VEGAS, NV 89147(702) 848-3554(877) 891-6804 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2023, Jan 26, 2023 (2 updates tracked since 2023).

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

NPI1881300507
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE NV PC
Location Address10180 W TROPICANA AVE STE 136Las Vegas, NV 89147-8467
Mailing Address4700 Millenia Blvd Ste 650Orlando, FL 32839-6013 · (407) 447-7120
Phone(702) 848-3554
Fax(877) 891-6804
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateJanuary 26, 2023
Last NPPES UpdateFebruary 15, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
✔ NPI 1881300507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedGeneral PracticeTaxonomy 208D00000X
10180 W TROPICANA AVE STE 136, Las Vegas, NV 89147
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-south Summerlin

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

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, NV
Active · expires Jun 14, 2027
CLIA Number29D2284000
Laboratory TypePhysician Office
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorTracy J Wakefield
Laboratory Phone(702) 848-3554
Laboratory LocationCenterwell Senior Primary Care- S Summerlin10180 W Tropicana Ave Suite 136, Las Vegas, NV 89147
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARISELA NADEAU FNP-BC
Nurse Practitioner (Family)
10180 W TROPICANA AVE STE 136
LAS VEGAS, NV 89147
Clark County (702) 848-3554

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 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.

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.