INTEGRATED MEDICAL WELLNESS CENTER, LLC
NPI 1194335802
Clinic/Center - Multi-Specialty in Peoria, AZ
About Integrated Medical Wellness Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED MEDICAL WELLNESS CENTER, LLC (NPI 1194335802) is a healthcare organization registered as a multi-specialty in Peoria, Arizona and active in the NPI registry since August 2020. The organization lists Andre Dreval, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Medical Wellness Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrated Medical Wellness Center, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 Integrated Medical Wellness Center, LLC's NPI number?
The NPI number for Integrated Medical Wellness Center, LLC is 1194335802. It was assigned to this organization in the NPPES registry on August 6, 2020.
Where is Integrated Medical Wellness Center, LLC located?
Integrated Medical Wellness Center, LLC is located at 10184 W Happy Valley Pkwy Ste 180, Peoria, AZ 85383. The listed phone number is (480) 289-8464.
What is Integrated Medical Wellness Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Integrated Medical Wellness Center, LLC enrolled in Medicare?
Yes. Integrated Medical Wellness Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Medical Wellness Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Integrated Medical Wellness Center, LLC, in Internal Medicine and Nurse Practitioner. 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 Integrated Medical Wellness Center, LLC was last updated on August 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Integrated Medical Wellness Center, Llc · NPI 1194335802
Multi-Specialty organization in Peoria, Arizona. Organization record, active in the CMS NPPES registry since August 6, 2020.
## Identity
- **NPI:** 1194335802 (Entity type: Organization)
- **Enumerated:** August 6, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Andre Dreval, MANAGING MEMBER
## Practice location
- **Address:** 10184 W HAPPY VALLEY PKWY STE 180, Peoria, AZ 85383-1254
- **Phone:** (480) 289-8464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194335802) · Data from the CMS NPPES public registry.