MIMBRES INTERNAL MEDICINE PA
NPI 1083728109
Internal Medicine in Deming, NM
About Mimbres Internal Medicine Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIMBRES INTERNAL MEDICINE PA (NPI 1083728109) is a healthcare organization registered as an internal medicine in Deming, New Mexico and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Bassam Al-homsi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mimbres Internal Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Mimbres Internal Medicine PA, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 32D2126900
Mimbres Internal Medicine · Deming, NMFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mimbres Internal Medicine PA's NPI number?
The NPI number for Mimbres Internal Medicine PA is 1083728109. It was assigned to this organization in the NPPES registry on August 18, 2006.
Where is Mimbres Internal Medicine PA located?
Mimbres Internal Medicine PA is located at 122 S Gold Ave Suite 3, Deming, NM 88030. The listed phone number is (575) 544-7280.
What is Mimbres Internal Medicine PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mimbres Internal Medicine PA enrolled in Medicare?
Yes. Mimbres Internal Medicine PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mimbres Internal Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Mimbres Internal Medicine PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Certified Clinical Nurse Specialist (CNS) (1) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mimbres Internal Medicine PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 32D2126900) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mimbres Internal Medicine PA was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mimbres Internal Medicine Pa · NPI 1083728109
Internal Medicine organization in Deming, New Mexico. Organization record, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1083728109 (Entity type: Organization)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Bassam Al-Homsi, OWNER
## Practice location
- **Address:** 122 S GOLD AVE, SUITE 3, Deming, NM 88030-3755
- **Phone:** (575) 544-7280 · **Fax:** (575) 544-7281
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Certified Clinical Nurse Specialist (CNS) (1), Family Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2012
- **Other identifiers:** Other NM011036 (NM); Medicare ID-Type Unspecified 300521018; Medicaid A8242 (NM)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083728109) · Data from the CMS NPPES public registry.