Active NPI
Jerry Noel Centeno, M.D.
- Cardiovascular Disease Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 192868
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-2000
- NPI assigned
- Apr 12, 2016
- Last updated
- Mar 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD224604 | OR | |
| Cardiovascular Disease Physician | 207RC0000X | 192868 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 299633 | NY |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5250
1698 E McAndrews Rd
Suite 300
Medford, OR 97504-5590
Phone (541) 732-7850
600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118
801 N Tustin Ave
Suite 706
Santa Ana, CA 92705-3611
Phone (714) 568-6600
Hospital & facility affiliations
- Uci Health-Orange
- Arnot Ogden Medical Center
- Providence Medford Medical Center
- Ahmc Anaheim Regional Medical Center
- Asante Rogue Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192868 | CA | MD | Cardiovascular Disease Physician |
| MD224604 | OR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Harinder S. Gogia, M.D., Inc. | Current | Accepting new patients | |
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
1801 W Romneya Dr
Ste 403
Anaheim, CA 92801
Phone (714) 491-7000
1325 N Rose Dr
Ste 208
Placentia, CA 92870
Phone (714) 203-1283
801 N Tustin Ave
Ste 706
Santa Ana, CA 92705
Phone (714) 568-6600
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
1698 E McAndrews Rd
Ste 300
Medford, OR 97504
Phone (541) 732-7850
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cardiology Consultants of OC Medical Group Inc.
- Specialist
- Santa Ana, CA
- NPI 1356451264
-
dba Providence Medford Medical Center
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
dba Providence Medical Group South
- Family Medicine Physician
- Medford, OR
- NPI 1568547503
Internal Medicine
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
dba Newyork-Presbyterian Medical Group/Queens
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
-
dba Providence Medford Medical Center
- Clinical Pathology Physician
- Medford, OR
- NPI 1285185942
Internal Medicine
-
dba Providence Medical Group South
- Internal Medicine Physician
- Central Point, OR
- NPI 1609951649
-
dba Providence Medical Group South
- Clinic/Center
- Phoenix, OR
- NPI 1992882500
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
dba AHMC Anaheim Regional Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1891938122
-
dba Asante Rogue Regional Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
dba Providence Medford Medical Center
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1508220856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTENO",
"first_name": "JERRY",
"middle_name": "NOEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD224604",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "192868",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "299633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.