Centennial Medical Group, PA
NPI 1134235039 · Family Medicine Physician · Columbia, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centennial Medical Group, PA is a Family Medicine Physician organization in Columbia, MD (NPI 1134235039).
Provider details
- NPI number
- 1134235039
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rajiv Dua, Medical Director(410) 730-3399
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Non-Pharmacy Dispensing Site332900000X
Suppliers
- Allergy Physician207KA0200X
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Occupational Medicine Physician2083X0100X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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)
- Other name
- Centennial Medical Group Multi Specialty
- Other name
- Centennial Medical Group Multi Specialty
Registry dates
- Enumerated
- 2006-08-22
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Centennial Medical Group, PA's NPI number?
- Centennial Medical Group, PA's National Provider Identifier (NPI) is 1134235039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centennial Medical Group, PA?
- Centennial Medical Group, PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Centennial Medical Group, PA located?
- Centennial Medical Group, PA's practice location on file with NPPES is 6250 Old Dobbin Ln, Columbia, MD 21045-5816.
- What is Centennial Medical Group, PA's phone number?
- The practice phone number listed in the NPPES registry for Centennial Medical Group, PA is (410) 730-3399.
- Does Centennial Medical Group, PA accept Medicare?
- Centennial Medical Group, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Centennial Medical Group, PA?
- The authorized official listed on Centennial Medical Group, PA's NPPES record is Rajiv Dua, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centennial Medical Group, PA's NPI active?
- Yes — Centennial Medical Group, PA's NPI (1134235039) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.