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MIMBRES INTERNAL MEDICINE PA
NPI 1083728109
Internal Medicine in Deming, NM

Active since August 18, 2006CLIA Certified · 2 labs
122 S GOLD AVE, SUITE 3, DEMING, NM 88030(575) 544-7280(575) 544-7281 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 2 active CLIA laboratory certificates and lists Bassam Al-homsi, Owner, as its authorized official.

NPPES Registry Identity

NPI1083728109
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMIMBRES INTERNAL MEDICINE PA
Location Address122 S GOLD AVE, SUITE 3Deming, NM 88030-3755
Mailing Address122 S Gold Ave, Suite 3Deming, NM 88030-3755 · (575) 544-7280 · Fax (575) 544-7281
Phone(575) 544-7280
Fax(575) 544-7281
Organization SubpartNo
Authorized OfficialBassam Al-homsiOwner · (575) 544-7280
Enumeration DateAugust 18, 2006
Last NPPES UpdateApril 19, 2012
✔ NPI 1083728109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
122 S GOLD AVE, Deming, NM 88030
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Other Identifiers 3

OtherNM011036NM · Blue Cross Blue Shield
Medicare ID-Type Unspecified300521018
MedicaidA8242NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 32D0942313

Mimbres Internal Medicine · Deming, NM
Active · expires Aug 24, 2026
CLIA Number32D0942313
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorBassam Alhomsi
Laboratory Phone(575) 544-7280
Laboratory LocationMimbres Internal Medicine122 South Gold Suite 3, Deming, NM 88030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 32D2126900

Mimbres Internal Medicine · Deming, NM
Active · expires Mar 6, 2027
CLIA Number32D2126900
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorBassam A. Homsi
Laboratory Phone(575) 936-4353
Laboratory LocationMimbres Internal Medicine1413 S Columbus Rd, Deming, NM 88030
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS J BYRNE MD PLLC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
122 S GOLD AVE, SUITE 4
DEMING, NM 88030
Luna County (505) 546-3340
BASSAM AL HOMSI MD
Internal Medicine
122 S GOLD AVE, SUITE 3
DEMING, NM 88030
Luna County (505) 544-7280
FERNANDO JAVIER PARDO-RUIZ M.D.
Internal Medicine
122 S GOLD AVE, SUITE 3
DEMING, NM 88030
Luna County (505) 544-7280

Frequently 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.

Does Mimbres Internal Medicine PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 with the weekly NPPES data releases published by CMS.