Centennial Medical Group West, LLC
NPI 1063710192 · Surgical Physician Assistant · Roseburg, OR
Centennial Medical Group West, LLC is a Surgical Physician Assistant organization in Roseburg, OR (NPI 1063710192).
Provider details
- NPI number
- 1063710192
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Centennial Medical Group, Inc.
- Organization subpart
- Yes
- Authorized official
- Rahul Agarwal, President(541) 677-2494
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Centennial Surgical Assistants
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2011-03-15
Frequently asked questions
- What is Centennial Medical Group West, LLC's NPI number?
- Centennial Medical Group West, LLC's National Provider Identifier (NPI) is 1063710192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centennial Medical Group West, LLC?
- Centennial Medical Group West, LLC is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Centennial Medical Group West, LLC located?
- Centennial Medical Group West, LLC's practice location on file with NPPES is 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281.
- What is Centennial Medical Group West, LLC's phone number?
- The practice phone number listed in the NPPES registry for Centennial Medical Group West, LLC is (541) 677-2494.
- Who is the authorized official for Centennial Medical Group West, LLC?
- The authorized official listed on Centennial Medical Group West, LLC's NPPES record is Rahul Agarwal, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centennial Medical Group West, LLC's NPI active?
- Yes — Centennial Medical Group West, LLC's NPI (1063710192) is active in the NPPES registry as of the last update on 2011-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.