CENTENNIAL MEDICAL GROUP LLP
CENTENNIAL MEDICAL GROUP LLP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1073619359, based in Las Vegas, NV. It is classified under Interventional Pain Medicine Physician.
Getting there
The practice address on file is 4454 N DECATUR BLVD, Las Vegas, NV 89130. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6901807536
Enrolled in Medicare 3 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Nevada | O20070125000104 | Part B Supplier - Clinic/group Practice |
| Nevada | O20231018003549 | Dme Supplier - Multi-specialty - Physician |
| New Mexico | O20250423001226 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 3 separate enrolment records across 2 states (NV, NM). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Interventional Pain Medicine covers
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NUCC Health Care Provider Taxonomy, code 208VP0014X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1073619359 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 15, 2006 |
| Last updated | Aug 23, 2018 |
| Status | Active |
| Practice address |
4454 N DECATUR BLVD Las Vegas, NV 89130 (702) 507-0996 Fax (702) 507-0992 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 7 | 3 | 6 | 1 | 9 | 3 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 5 | 3 | 3 | 1 | 9 | 3 | 1 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.