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Centrus Healthcare LLC

Internal Medicine Physician in San Antonio, TX · enumerated 2024 · authorized official Mufaddal Bootwala, Managing Partner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477315943

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Centrus Healthcare LLC
Practice address 20658 Stone Oak Pkwy, #108, San Antonio, TX, 78258
Phone (888) 220-4915
Enumeration date Jan 29, 2024
Last updated in NPPES Jan 29, 2024

Taxonomy & classification

163WH0200X Home Health Registered Nurse Nursing Service Providers Secondary
163WW0000X Wound Care Registered Nurse Nursing Service Providers Secondary
207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians Secondary
207QH0002X Hospice and Palliative Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
2081H0002X Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
2279P3800X Palliative/Hospice Registered Respiratory Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
251E00000X Home Health Agency Agencies Secondary
251F00000X Home Infusion Agency Agencies Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Mufaddal Bootwala
Title Managing Partner
Phone (888) 220-4915

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Centrus Healthcare LLC?
Centrus Healthcare LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-29.