Organization Active NPI

Premier Family Medicine LLC

  • Clinic/Center
  • Denver, CO
National Provider Identifier
1992339790
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMIER FAMILY MEDICINE LLC
Practice address
2283 S Monaco Pkwy Ste 105
Denver, CO 80222-5845
Phone
(720) 531-2370
Fax
(720) 531-2370
NPI assigned
Mar 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Misbah Darweesh Zmily, MDNPI 1285735332
Title
Owner
Phone
(720) 531-2370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2283 S Monaco Pkwy Ste 105
Denver, CO 80222-5845

Mailing address

2283 S Monaco Pkwy Ste 105
Denver, CO 80222-5845
Phone (720) 531-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201104002621 CO Part B Supplier - Clinic/Group Practice 9739500315 Receives reassigned benefits from 4 practitioners
Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1992339790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 S MONACO PKWY STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225845",
            "telephone_number": "720-531-2370",
            "fax_number": "720-531-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 S MONACO PKWY STE 105",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225845",
            "telephone_number": "720-531-2370",
            "fax_number": "720-531-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "ZMILY",
        "authorized_official_first_name": "MISBAH",
        "authorized_official_middle_name": "DARWEESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-531-2370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.