Dilaawar J. Mistry, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

49953 Issued in CO

Practice address

2021 Battlecreek Dr Unit a
Fort Collins, CO 80528-5120

Phone

(883) 992-2742

Fax

(970) 557-2326

NPI assigned

Feb 7, 2007

Last updated

Mar 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Internal Medicine

Education

University of Virginia School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poudre Valley Health Care IncGroup PAC ID 7618880709, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Poudre Valley Health Care Inc.

  dba Poudre Valley Hospital

  • General Acute Care Hospital
  • Fort Collins, CO
  • NPI 1760492714
  Medicare reassignment Care Compare group NPD
• Berkana Rehabilitation, PLLC

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1497035059
  Medicare reassignment NPD
• Dilaawar J. Mistry, M.D., PLLC

  • Medical Specialty Clinic/Center
  • Fort Collins, CO
  • NPI 1487136511
  NPD Authorized official
• Poudre Valley Health Care Inc

  dba Poudre Valley Health System

  • General Acute Care Hospital
  • Greeley, CO
  • NPI 1962158857
  NPD
• Poudre Valley Health Care Inc.

  • Adult Mental Health Clinic/Center
  • Windsor, CO
  • NPI 1326615592
  NPD
• Poudre Valley Health Care,Inc

  • Clinic/Center
  • Fort Collins, CO
  • NPI 1891837738
  NPD (past)
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1437299468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001A E HARMONY RD # 181",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253354",
            "telephone_number": "434-760-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 BATTLECREEK DR UNIT A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285120",
            "telephone_number": "883-992-2742",
            "fax_number": "970-557-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "DILAAWAR",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "49953",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101233275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006800904",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88032779",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Minton, BSW
• Miramont Central Inc. (Miramont Lifestyle Fitness)
• Michelle Miranda, PMHNP
• Edward Miron, M.D.
• Bruce Donald Misare, MD, RPH
• Kelly Elizabeth Mistry, M.D.
• Amira Misurati, BS
• Mitchell J Mayo (Mayo Ocular Prosthetics)
• Carolyn Graeber Mitchell, M.D.
• Karmen Thea Mitchell, MM, MT-BC

• Internal Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.