Centennial Medical Group Inc.
NPI 1518103274 · Surgery Physician · Roseburg, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centennial Medical Group Inc. is a Surgery Physician organization in Roseburg, OR (NPI 1518103274).
Provider details
- NPI number
- 1518103274
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Centennial Medical Group Inc.
- Organization subpart
- Yes
- Authorized official
- Donna Van Dis, Credentialing Coordinator(541) 677-4319
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Registry dates
- Enumerated
- 2008-12-31
- Last updated
- 2019-11-25
Frequently asked questions
- What is Centennial Medical Group Inc.'s NPI number?
- Centennial Medical Group Inc.'s National Provider Identifier (NPI) is 1518103274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centennial Medical Group Inc.?
- Centennial Medical Group Inc. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Centennial Medical Group Inc. located?
- Centennial Medical Group Inc.'s practice location on file with NPPES is 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835.
- What is Centennial Medical Group Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Centennial Medical Group Inc. is (541) 644-4319.
- Does Centennial Medical Group Inc. accept Medicare?
- Centennial Medical Group Inc. 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 Inc.?
- The authorized official listed on Centennial Medical Group Inc.'s NPPES record is Donna Van Dis, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centennial Medical Group Inc.'s NPI active?
- Yes — Centennial Medical Group Inc.'s NPI (1518103274) is active in the NPPES registry as of the last update on 2019-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.