Centennial Medical Group LLP
A Medicare group practice based in Las Vegas, NV: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6901807536), with 17 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6901807536
- Provider type
- DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NM, NV
- Enrollments
- 5
- Group size
- 10 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20070125000104 | NV | Part B Supplier - Clinic/Group Practice | 1073619359 |
| O20231018003549 | NV | DME Supplier - Multi-Specialty - Physician | 1073619359 |
| O20250423001226 | NM | Part B Supplier - Clinic/Group Practice | 1073619359 |
| O20250724000650 | NM | DME Supplier - Physician - Interventional Pain Management | 1740170091 |
| O20250902001715 | NV | DME Supplier - Physician - Interventional Pain Management | 1013807361 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Centennial Medical Group LLP
- Durable Medical Equipment & Medical Supplies
- Las Vegas, NV
- NPI 1013807361
-
Centennial Medical Group LLP
- Interventional Pain Medicine Physician
- Las Vegas, NV
- NPI 1073619359
-
Centennial Medical Group LLP
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
- NPI 1740170091
Practice locations
- Las Vegas, NV5
- Albuquerque, NM3
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 96.58 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 67.97
Clinicians 17
Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (10).
-
David Earl Alvarado, MD
- Pain Medicine Physician
- Las Vegas, NV
- NPI 1225371628
-
William H Baumgartl, MD
- Interventional Pain Medicine Physician
- Las Vegas, NV
- NPI 1528004496
-
Andrew Levi Blythe, PA-C
- Physician Assistant
- Gray, TN
- NPI 1336786383
-
Jason Calloway, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1730728841
-
Linda Marie Corral
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1396461778
-
Nels N Dahlgren, MD
- Pain Medicine (Anesthesiology) Physician
- Rio Rancho, NM
- NPI 1396884318
-
Latasha S Davis, APRN
- Nurse Practitioner
- Las Vegas, NV
- NPI 1306388251
-
Gerald Lynn Gibbs, APRN
- Gerontology Nurse Practitioner
- Las Vegas, NV
- NPI 1700441094
-
Sudhir S Khemka, MD
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1326115429
-
David L Klappholz, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
- NPI 1679576755
-
Daniel Robert Krauchuk, D.O.
- Physical Medicine & Rehabilitation Physician
- Las Vegas, NV
- NPI 1114234440
-
David R Lanzkowsky
- Pain Medicine (Anesthesiology) Physician
- Las Vegas, NV
- NPI 1154427375
-
Firooz Mashhood, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Las Vegas, NV
- NPI 1336181783
-
Kristi Pikyavit, FNP
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1598129058
-
Robert Sawyer, MD
- Pain Medicine Physician
- Las Vegas, NV
- NPI 1902237704
-
Himanshu Suri
- Pain Medicine (Psychiatry & Neurology) Physician
- Hallandale Beach, FL
- NPI 1073977328
-
John V Watkins, M.D.
- Pain Medicine (Anesthesiology) Physician
- Albuquerque, NM
- NPI 1851367718
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.