COMPREHENSIVE MEDICAL CARE WM LLC
NPI 1841151883
Internal Medicine in Lakeside, AZ

Active since November 19, 2025CLIA 03D1025168 · Waiver
4672 MAVERICK LN STE 1A, LAKESIDE, AZ 85929(520) 404-9023 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2026, Apr 15, 2026, Nov 19, 2025 (3 updates tracked since 2025).

About Comprehensive Medical Care Wm Llc NPPES

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

COMPREHENSIVE MEDICAL CARE WM LLC (NPI 1841151883) is a healthcare organization registered as an internal medicine in Lakeside, Arizona and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Yuri Talalaev, Manager, as its authorized official.

NPPES Registry Identity

NPI1841151883
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOMPREHENSIVE MEDICAL CARE WM LLC
Location Address4672 MAVERICK LN STE 1ALakeside, AZ 85929-5434
Mailing Address650 N Penrod Rd Ste AShow Low, AZ 85901-5284 · (928) 288-0123 · Fax (877) 682-6132
Organization SubpartNo
Authorized OfficialYuri TalalaevManager · (520) 404-9023
Enumeration DateNovember 19, 2025
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1841151883 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.
4672 MAVERICK LN STE 1A, Lakeside, AZ 85929

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Comprehensive Medical Care Wm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Comprehensive Medical Care Wm LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1659471837
4672 MAVERICK LN STE 1A
Lakeside, AZ 85929
(928) 288-0123
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548372089
4672 MAVERICK LN STE 1A
Lakeside, AZ 85929
(928) 288-0123
✔ 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.

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 03D1025168

Comprehensive Medical Care · Lakeside, AZ
Active · expires Apr 29, 2028
CLIA Number03D1025168
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorYuri Talalaev
Laboratory Phone(520) 404-9023
Laboratory LocationComprehensive Medical Care4672 Maverick Ln Ste 1A, Lakeside, AZ 85929
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Comprehensive Medical Care Wm LLC's NPI number?

The NPI number for Comprehensive Medical Care Wm LLC is 1841151883. It was assigned to this organization in the NPPES registry on November 19, 2025.

Where is Comprehensive Medical Care Wm LLC located?

Comprehensive Medical Care Wm LLC is located at 4672 Maverick Ln Ste 1A, Lakeside, AZ 85929. The listed phone number is (520) 404-9023.

What is Comprehensive Medical Care Wm LLC's specialty?

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

Is Comprehensive Medical Care Wm LLC enrolled in Medicare?

Yes. Comprehensive Medical Care Wm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Comprehensive Medical Care Wm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Comprehensive Medical Care Wm 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Comprehensive Medical Care Wm LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1025168) is associated with this NPI, valid through April 29, 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 Care Wm LLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.