NPIMap

Individual provider Active NPI

Kelly Elizabeth Mistry, M.D.

  • Hospitalist Physician
  • Fort Collins, CO
National Provider Identifier
1487858346
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DR.0049829 Issued in CO
Practice address
2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone
(434) 243-4394
Fax
(434) 243-4873
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101244716 VA
Hospitalist Physician 208M00000X DR.0049829 CO Primary

Addresses

Primary practice location

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408

Mailing address

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone (970) 488-1666

Other practice location 1

2637 Midpoint Dr Ste B
Fort Collins, CO 80525-4408
Phone (434) 243-4394

Other names 1

  • Ms. Kelly Elizabeth Sibre Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000427 CO Practitioner - Internal Medicine 0143417055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Hospitalists Professional LLCGroup PAC ID 8325147507, 85 clinicians

Practice addresses (Care Compare)

2637 Midpoint Dr
Suite B
Fort Collins, CO 80525-4408
Phone (970) 488-1666

Hospital & facility affiliations

  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0049829COMDHospitalist Physician
0101244716VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Hospice CurrentSince Aug 23, 2023 Accepting new patients
Pathways Hospice CurrentSince Aug 23, 2023 Accepting new patients
Pathways Hospice Current Accepting new patients
Northern Colorado Hospitalists Professional LLC Hospitalist CurrentSince Nov 1, 2017 Accepting new patients
Uchealth Greeley Hospital Past Accepting new patients
Poudre Valley Health Care Inc. Past Accepting new patients
Medical Center of the Rockies Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

8289 E Lowry Blvd
Denver, CO 80230
Phone (303) 321-2828

317 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

1236 E Elizabeth St
Ste 3
Fort Collins, CO 80524
Phone (970) 488-1666

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

2637 Midpoint Dr
Ste B
Fort Collins, CO 80525
Phone (970) 488-1640

305 Carpenter Rd
Fort Collins, CO 80525
Phone (970) 663-3500

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

Organizations & group practices 8

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

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1487858346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "970-488-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 MIDPOINT DR STE B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254408",
            "telephone_number": "434-243-4394",
            "fax_number": "434-243-4873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Midpoint Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805254408",
            "country_code": "US",
            "telephone_number": "434-243-4394",
            "fax_number": "434-243-4873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISTRY",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101244716",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0049829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SIBRE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.