Mr Misbah Darweesh Zmily, MD - Medicare Internal Medicine in Raton, NM

Mr Misbah Darweesh Zmily, MD is a medicare enrolled "Internal Medicine" physician in Raton, New Mexico. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice La Familia Primary Care P C, Portercare Adventist Health System, Premier Family Medicine Llc, Zmily Health Group Inc and his current practice location is 190 Hospital Dr, Raton, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 445-5563.

Mr Misbah Darweesh Zmily is licensed to practice in New Mexico (license number 96-165) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285735332.

Contact Information

Mr Misbah Darweesh Zmily, MD
190 Hospital Dr,
Raton, NM 87740-2002
(575) 445-5563
Not Available

Map and Direction




Physician's Profile

Full NameMr Misbah Darweesh Zmily
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location190 Hospital Dr, Raton, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Misbah Darweesh Zmily graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1285735332
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 09/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4183726722
  • Enrollment ID: I20070228000175

Medical Identifiers

Medical identifiers for Mr Misbah Darweesh Zmily such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285735332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 54095 (Colorado)Secondary
207R00000XInternal Medicine 96-165 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Taos Hospice AgencyTaos, NMHospice
Miners' Colfax Medical CenterRaton, NMHospital
Parker Adventist HospitalParker, COHospital
Mt San Rafael HospitalTrinidad, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
La Familia Primary Care P C04463522073
Portercare Adventist Health System0941110886547
Premier Family Medicine Llc97395003153
Zmily Health Group Inc80223969694

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Misbah Darweesh Zmily allows following entities to bill medicare on his behalf.
Entity NameLa Familia Primary Care P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366525537
PECOS PAC ID: 0446352207
Enrollment ID: O20070226000048
Entity NameZia Healthcare Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235634346
PECOS PAC ID: 8729336201
Enrollment ID: O20180731000989

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Misbah Darweesh Zmily is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Misbah Darweesh Zmily, MD
190 Hospital Dr,
Raton, NM 87740-2002

Ph: (575) 445-5563
Mr Misbah Darweesh Zmily, MD
190 Hospital Dr,
Raton, NM 87740-2002

Ph: (575) 445-5563

Reviews and Comments


Internal Medicine Doctors in Raton, NM

Dr. Hugh Edward Naylor Iii, HUGH NAYLOR M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 190 Hospital Dr, Raton, NM 87740
Phone: 505-445-5563    Fax: 505-445-5566
John Claude Bagwell, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 203 Hospital Dr, Raton, NM 87740
Phone: 575-445-7739    
Vinay Saini, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 203 Hospital Dr, Raton, NM 87740
Phone: 575-445-3661    Fax: 575-445-7737
Christine Lopez, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 203 Hospoital Dr., Raton, NM 87740
Phone: 575-445-3661    
Leonardo E Lopez Jr., M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 203 Hospital Dr, Raton, NM 87740
Phone: 575-303-3692    
Ms. Loretta A Conder, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 203 Hospital Dr, Raton, NM 87740
Phone: 505-445-7793    Fax: 505-445-7743

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.