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SEGO MEDICAL ASSOCIATES LLC
NPI 1104102482
Internal Medicine in Lake Havasu City, AZ

Active since October 31, 2011
2082 MESQUITE AVE, SUITE 106, LAKE HAVASU CITY, AZ 86403(928) 680-4233(928) 680-6522 Get Directions Write a Review

NPPES record last updated: October 31, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sego Medical Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEGO MEDICAL ASSOCIATES LLC (NPI 1104102482) is a healthcare organization registered as an internal medicine in Lake Havasu City, Arizona and active in the NPI registry since October 2011. The organization lists Elizabeth Smith-tryon, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1104102482
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSEGO MEDICAL ASSOCIATES LLC
Location Address2082 MESQUITE AVE, SUITE 106Lake Havasu City, AZ 86403-6710
Mailing Address3361 Hilldale DrLake Havasu City, AZ 86406-9062 · (928) 566-9958 · Fax (928) 680-6522
Phone(928) 680-4233
Fax(928) 680-6522
Organization SubpartNo
Authorized OfficialElizabeth Smith-tryonOwner/member · (928) 566-9958
Enumeration DateOctober 31, 2011
✔ NPI 1104102482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2082 MESQUITE AVE, Lake Havasu City, AZ 86403
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Other Identifiers 1

OtherL-1712856-3AZ · Llc Registration

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Sego Medical Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20120120000849Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sego Medical Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Smith Tryon, MD
Internal Medicine
NPI 1700864436
2082 MESQUITE AVE STE 106
Lake Havasu City, AZ 86403
(928) 680-4233
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Sego Medical Associates LLC's NPI number?

The NPI number for Sego Medical Associates LLC is 1104102482. It was assigned to this organization in the NPPES registry on October 31, 2011.

Where is Sego Medical Associates LLC located?

Sego Medical Associates LLC is located at 2082 Mesquite Ave Suite 106, Lake Havasu City, AZ 86403. The listed phone number is (928) 680-4233.

What is Sego Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sego Medical Associates LLC enrolled in Medicare?

Yes. Sego Medical Associates LLC is registered in the Medicare PECOS enrollment system.

When is Sego Medical Associates 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 (Arizona, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Sego Medical Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sego Medical Associates 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.

When was this NPI record last updated?

The NPPES record for Sego Medical Associates LLC was last updated on October 31, 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.