COMPREHENSIVE MEDICAL GROUP, LLC
NPI 1093014748
Nurse Practitioner - Family in Avon, CT
About Comprehensive Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMPREHENSIVE MEDICAL GROUP, LLC (NPI 1093014748) is a healthcare organization registered as a family in Avon, Connecticut and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Mary E. Amato, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Comprehensive Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Comprehensive Medical Group, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 07D2041080
Comprehensive Medical Group · Avon, CTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Comprehensive Medical Group, LLC's NPI number?
The NPI number for Comprehensive Medical Group, LLC is 1093014748. It was assigned to this organization in the NPPES registry on March 21, 2011.
Where is Comprehensive Medical Group, LLC located?
Comprehensive Medical Group, LLC is located at 40 Dale Rd Suite 103, Avon, CT 06001. The listed phone number is (860) 673-3737.
What is Comprehensive Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Comprehensive Medical Group, LLC enrolled in Medicare?
Yes. Comprehensive Medical Group, LLC is registered in the Medicare PECOS enrollment system.
When is Comprehensive Medical Group, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Comprehensive Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Comprehensive Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Comprehensive Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2041080) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Comprehensive Medical Group, LLC was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Comprehensive Medical Group, Llc · NPI 1093014748
Family organization in Avon, Connecticut. Organization record, active in the CMS NPPES registry since March 21, 2011.
## Identity
- **NPI:** 1093014748 (Entity type: Organization)
- **Enumerated:** March 21, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Mary Amato, PRACTICE MANAGER
## Practice location
- **Address:** 40 DALE RD, SUITE 103, Avon, CT 06001-3692
- **Phone:** (860) 673-3737 · **Fax:** (860) 675-0640
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2011
- **Other identifiers:** Other 1942352794 (CT); Other 1669496113 (CT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093014748) · Data from the CMS NPPES public registry.