Comprehensive Medical Group, LLC
NPI 1093014748ActiveOrganization· Nurse Practitioner, Family· Avon, CT
Nurse Practitioner, Family in Avon, Connecticut, registered in NPPES in March 2011. The authorized official on file is Mary E. Amato, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093014748 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2011 |
| Last updated in NPPES | Nov 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 002626 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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