Zia Internal Medicine Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ZIA INTERNAL MEDICINE ASSOCIATES, LLC

Practice address

4001 Rodeo Rd
Santa Fe, NM 87507-4830

Phone

(505) 780-8381

Fax

(505) 467-8521

NPI assigned

Nov 29, 2017

Last updated

May 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mehul Daulat, DONPI 1508270745

Title

Owner

Phone

(602) 391-3968

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/504985/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mehul Daulat, D.O.

  • Internal Medicine Physician
  • Santa Fe, NM
  • NPI 1508270745
  Medicare reassignment NPD Authorized official
• Trisha Patel, MD

  • Dermatology Physician
  • Santa Fe, NM
  • NPI 1053731927
  Medicare reassignment NPD
• Rebecca Lynn Bourbon, P.A.-C

  • Physician Assistant
  • Rio Rancho, NM
  • NPI 1003973231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1194239145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 RODEO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074830",
            "telephone_number": "505-780-8381",
            "fax_number": "505-467-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 RODEO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074830",
            "telephone_number": "505-780-8381",
            "fax_number": "505-467-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA INTERNAL MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "DAULAT",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-391-3968",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zenun Inc (Medicap Pharmacy)
• Paula D Zerfoss, LISW, LCSW, MSW
• Haiwen Zhang, DMD
• Chuyang Zhong
• Zia Behavioral Health, LLP
• Zia Vista Home Health LLC
• Lauren Zielinski, CNM
• Lila Zimmerman
• Victoria Zinkham
• Zoe Migel (autism & early intervention)

• Internal Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.