Individual provider Active NPI

Misbah Darweesh Zmily, MD

  • Internal Medicine Physician
  • Raton, NM
National Provider Identifier
1285735332
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
96-165 Issued in NM
Practice address
190 Hospital Dr
Raton, NM 87740-2002
Phone
(575) 445-5563
NPI assigned
Sep 25, 2006
Last updated
Sep 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 54095 CO
Internal Medicine Physician 207R00000X 96-165 NM Primary

Addresses

Primary practice location

190 Hospital Dr
Raton, NM 87740-2002

Mailing address

190 Hospital Dr
Raton, NM 87740-2002
Phone (575) 445-5563

Other practice location 1

2283 S Monaco Pkwy Ste 105
Denver, CO 80222-5845
Phone (730) 531-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070228000175 NM Practitioner - Family PracticePractitioner - Internal Medicine 4183726722 Reassigns benefits to 2 organizations
I20140917000493 CO Practitioner - Internal Medicine 4183726722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Familia Primary Care P CGroup PAC ID 0446352207, 4 clinicians
Zmily Health Group IncGroup PAC ID 8022396969, 7 clinicians

Practice addresses (Care Compare)

190 Hospital Dr
Raton, NM 87740-2002
Phone (575) 445-5563

9395 Crown Crest Blvd
Parker, CO 80138-8573
Phone (303) 269-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54095COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
La Familia Primary Care P C CurrentSince Feb 20, 2006 Accepting new patients
Zmily Health Group Inc. CurrentSince Oct 1, 2016 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Jul 1, 2015 Accepting new patients
Premier Family Medicine LLC CurrentSince Jul 9, 2020 Accepting new patients
South Central Colfax County Special Hospital District Past Accepting new patients

Locations

2851 S Parker Rd
Ste 100
Aurora, CO 80014
Phone (720) 400-5295

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

2283 S Monaco Street Pkwy
Ste 105
Denver, CO 80222
Phone (720) 531-2370

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

190 Hospital Dr
Raton, NM 87740
Phone (505) 445-5563

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3427/brand/1/csg/1/fhir/r4
  • Direct secure messaging: misbah.zmily.1@32368.direct.athenahealth.com
  • Direct secure messaging: mzmily1819884@adventhealth.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1285735332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402002",
            "telephone_number": "575-445-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402002",
            "telephone_number": "575-445-5563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2283 S Monaco Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802225845",
            "country_code": "US",
            "telephone_number": "730-531-2370",
            "fax_number": "303-632-6153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZMILY",
        "first_name": "MISBAH",
        "middle_name": "DARWEESH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "54095",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "96-165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raton, NM

Sources for this page

Verify at the official NPI Registry.