Centennial Medical Group, PA
A Medicare group practice based in Clarksville, MD: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2668466038), with 61 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2668466038
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 34 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040409000473 | MD | Part B Supplier - Clinic/Group Practice | 1134235039 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Centennial Medical Group, PA
- Family Medicine Physician
- Columbia, MD
- NPI 1134235039
-
Centennial Medical Group, PA
- Family Medicine Physician
- Ellicott City, MD
- NPI 1245953009
-
Centennial Medical Group, PA
- General Practice Physician
- Gambrills, MD
- NPI 1306477849
-
Centennial Medical Group, PA
- Family Medicine Physician
- Clarksville, MD
- NPI 1336918275
-
Centennial Medical Group, PA
- Physical Therapy Clinic/Center
- Elkridge, MD
- NPI 1477338325
Practice locations
- Columbia, MD1
- Laurel, MD1
- Gambrills, MD1
- Ellicott City, MD1
- Elkridge, MD1
- Clarksville, MD1
Clinicians 61
Clinicians who reassign their Medicare benefits to this group (61) or whom Care Compare lists as members (34).
-
Bosede Adedire, CRNP FNP-BC
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1477925030
-
Kathleen Andersen, PAC
- Medical Physician Assistant
- Fort Washington, MD
- NPI 1578742375
-
Kaitlin Baron, M.D.
- Cardiovascular Disease Physician
- Silver Spring, MD
- NPI 1942576921
-
Jamy Adelina Batdorff, MPH, PA-C
- Medical Physician Assistant
- Laurel, MD
- NPI 1689857088
-
Stella M Blais, PA
- Physician Assistant
- Ellicott City, MD
- NPI 1114266954
-
Simone H Brady, CRNP
- Family Nurse Practitioner
- Columbia, MD
- NPI 1144202383
-
Jacinth Edna Brooks, MD
- General Practice Physician
- Columbia, MD
- NPI 1225117211
-
James Makoto Brothers, NP
- Family Nurse Practitioner
- Laurel, MD
- NPI 1487704862
-
Steven Carroll, CRNP
- Nurse Practitioner
- Annapolis, MD
- NPI 1386256634
-
Timothy A Clark, PA-C
- Physician Assistant
- Glenelg, MD
- NPI 1336851724
-
Barbara Anita Clorey, PA-C
- Physician Assistant
- Washington, DC
- NPI 1073607669
-
Sharon K Cox, M.D.
- Internal Medicine Physician
- Columbia, MD
- NPI 1487904702
-
John Patrick Cuenca
- Physician Assistant
- Largo, MD
- NPI 1770118895
-
Poonam Desai
- Physical Therapist
- Elkridge, MD
- NPI 1689026734
-
Rajiv Dua, M.D.
- Family Medicine Physician
- Columbia, MD
- NPI 1043326945
-
Malak Ehab Elgammal
- Physician Assistant
- Baltimore, MD
- NPI 1467289264
-
Virginia K Elsinger, PA
- Physician Assistant
- Fort Washington, MD
- NPI 1033178611
-
Efrahim Antonio Fernandez
- Specialist
- Ellicott City, MD
- NPI 1942886908
-
Eli Nebres Fontanilla, PT
- Physical Therapist
- Laurel, MD
- NPI 1568686426
-
Kshanila Gandhi, PT
- Physical Therapist
- Bethesda, MD
- NPI 1689889693
-
Ryan Gelfand, PA-C
- Physician Assistant
- Pittsburgh, PA
- NPI 1235697640
-
Selamawit Getachew
- Emergency Medicine Physician
- Columbia, MD
- NPI 1215973656
-
Joseph F Gibbons, M.D.
- Internal Medicine Physician
- Columbia, MD
- NPI 1023124922
-
Payal Gokal
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1376964148
-
Tova Green, CRNP-FAMILY
- Family Nurse Practitioner
- Randallstown, MD
- NPI 1699348961
-
Paul F. Hess, NP
- Nurse Practitioner
- Baltimore, MD
- NPI 1124061361
-
Kelly Hunt, APRN, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Arnold, MD
- NPI 1346691896
-
Joshua A. Israel, MD
- Psychiatry Physician
- Orange, CA
- NPI 1689628265
-
Elisabeth Jakobsen, PT
- Physical Therapist
- Elkridge, MD
- NPI 1932195872
-
Augusta Kumba Jalloh, NURSE PRACTITIONER
- Family Nurse Practitioner
- Washington, DC
- NPI 1487211090
-
Stephanie Jenkins
- Family Nurse Practitioner
- Columbia, MD
- NPI 1194322636
-
Aisha Peterson Johnson, M.D.
- Family Medicine Physician
- Temple Hills, MD
- NPI 1184755431
-
Carolina Radzyminska Johnson, PA-C
- Physician Assistant
- Catonsville, MD
- NPI 1093287260
-
Rena Marie Johnson, M.D.
- Family Medicine Physician
- Columbia, MD
- NPI 1447267661
-
Benjamin Thomas Judd, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- York, PA
- NPI 1285132878
-
Bernice Kpadjiba, PA-C
- Medical Physician Assistant
- Columbia, MD
- NPI 1528732328
-
Amy B. Lamparella, CRNP
- Adult Health Nurse Practitioner
- Ellicott City, MD
- NPI 1093704652
-
Rosemary E Long, PA-C
- Physician Assistant
- Baltimore, MD
- NPI 1285943100
-
Heather Kontaxis Loving, PA
- Physician Assistant
- Bethesda, MD
- NPI 1104861566
-
David Peter Luebbert, M.D.
- Family Medicine Physician
- Columbia, MD
- NPI 1922419464
-
Angela Christine Martinez, NP-C
- Family Nurse Practitioner
- Boonville, MO
- NPI 1235461658
-
Anthony V Murphy, MPAS
- Medical Physician Assistant
- Jber, AK
- NPI 1790756609
-
Arvind Narasimhan, MD
- Emergency Medicine Physician
- Fort Washington, MD
- NPI 1477597797
-
Ijeoma Victoria Okonkwo
- Family Nurse Practitioner
- Elkridge, MD
- NPI 1023625381
-
Fausat F Olayiwola, FNP-BC
- Nurse Practitioner
- Clinton, MD
- NPI 1831857218
-
Dipa Rohit Patel
- Physician Assistant
- Elkridge, MD
- NPI 1104541176
-
Sarah Wetzlar Perkins, PA
- Medical Physician Assistant
- Wayne, MI
- NPI 1649354242
-
Erika Monique Rauscher, PT
- Physical Therapist
- Dundalk, MD
- NPI 1063650067
-
Breanna Aubrey Roach
- Family Nurse Practitioner
- Columbia, MD
- NPI 1932050143
-
Dawn Marie Roelofs, NP-C, CRNP
- Family Nurse Practitioner
- Glen Burnie, MD
- NPI 1508311150
-
Thianheyla Saint-Fort, CRNP
- Family Nurse Practitioner
- Washington, DC
- NPI 1497473011
-
Richard A Sampong, PA-C
- Physician Assistant
- Landover Hills, MD
- NPI 1154614394
-
Edward A. Seidel, MD
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1477582021
-
Raina Shrestha
- Family Nurse Practitioner
- Towson, MD
- NPI 1922782275
-
Maren B Simons, PA-C
- Physician Assistant
- Columbia, MD
- NPI 1609955806
-
Brittany Smith, NP
- Family Nurse Practitioner
- Silver Spring, MD
- NPI 1942873898
-
Elizabeth Steinberg, PA-C
- Physician Assistant
- Baltimore, MD
- NPI 1922044130
-
Lesley Aisha Stephens Hanes, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Baltimore, MD
- NPI 1811956808
-
Tracy Vaught, P.T.
- Physical Therapist
- Falls Church, VA
- NPI 1174528731
-
Siobhan Yoshida, FNP
- Family Nurse Practitioner
- Columbia, MD
- NPI 1881883205
-
Bisma Zulfiqar, MD
- Family Medicine Physician
- Columbia, MD
- NPI 1538510375
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.