Lake Havasu Primary Care PLLC
NPI 1194116186 · Internal Medicine Physician · Lake Havasu City, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Havasu Primary Care PLLC is a Internal Medicine Physician organization in Lake Havasu City, AZ (NPI 1194116186).
Provider details
- NPI number
- 1194116186
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Essa Sidiqi, Owner/Member/Manager(928) 453-0777
- License
- 48667 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-02-11
- Last updated
- 2015-02-11
Frequently asked questions
- What is Lake Havasu Primary Care PLLC's NPI number?
- Lake Havasu Primary Care PLLC's National Provider Identifier (NPI) is 1194116186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Havasu Primary Care PLLC?
- Lake Havasu Primary Care PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Havasu Primary Care PLLC located?
- Lake Havasu Primary Care PLLC's practice location on file with NPPES is 1830 Mesquite Ave, Lake Havasu City, AZ 86403-5885.
- What is Lake Havasu Primary Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Havasu Primary Care PLLC is (928) 453-0777.
- Does Lake Havasu Primary Care PLLC accept Medicare?
- Lake Havasu Primary Care PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Havasu Primary Care PLLC?
- The authorized official listed on Lake Havasu Primary Care PLLC's NPPES record is Essa Sidiqi, Owner/Member/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Havasu Primary Care PLLC's NPI active?
- Yes — Lake Havasu Primary Care PLLC's NPI (1194116186) is active in the NPPES registry as of the last update on 2015-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.