USMAN ZULFIQAR M.D.
NPI 1013240258
Hospitalist in Ephrata, PA
About Usman Zulfiqar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
USMAN ZULFIQAR M.D. (NPI 1013240258) is an individual hospitalist provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MD459726) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains a secondary practice location in Lebanon.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Usman Zulfiqar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Usman Zulfiqar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ephrata, PA 17522
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Wyomissing, PA 19610
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Pottstown, PA 19465
- Reassigned Medicare billing, Pennsylvania enrollment
- 474 clinicians in this Medicare group
Limerick, PA 19468
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
Darby, PA 19023
- Reassigned Medicare billing, Pennsylvania enrollment
- 84 clinicians in this Medicare group
Somerset, PA 15501
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
- 274 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan York Hospital
Acute Care Hospitals · York, PAWellspan Good Samaritan Hospital
Acute Care Hospitals · Lebanon, PALancaster General Hospital
Acute Care Hospitals · Lancaster, PAWellspan Ephrata Community Hospital
Acute Care Hospitals · Ephrata, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17522 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EPHRATA, PA 17522
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 Usman Zulfiqar's NPI number?
The NPI number for Usman Zulfiqar is 1013240258. It was assigned to this individual provider in the NPPES registry on September 4, 2009.
Where is Usman Zulfiqar located?
Usman Zulfiqar practices at 169 Martin Ave, Ephrata, PA 17522. The listed phone number is (717) 721-4740.
What is Usman Zulfiqar's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Usman Zulfiqar enrolled in Medicare?
Yes. Usman Zulfiqar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Usman Zulfiqar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Usman Zulfiqar reassigns Medicare benefits to 6 organizations: Wellspan Medical Group (Ephrata, PA), Tower Health Medical Group (Wyomissing, PA), Pottstown Clinic Company LLC (Pottstown, PA), Phoenixville Clinic Company LLC (Limerick, PA), Critical Care Physicians Of Pennsylvania PC (Darby, PA) and 1 more organization, listed in the Medicare section above. Each 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 Usman Zulfiqar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Usman Zulfiqar affiliated with any hospitals?
According to CMS data, Usman Zulfiqar is affiliated with Wellspan York Hospital, Wellspan Good Samaritan Hospital, Lancaster General Hospital and Wellspan Ephrata Community Hospital.
When was this NPI record last updated?
The NPPES record for Usman Zulfiqar was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Usman Zulfiqar, M.D. · NPI 1013240258
Hospitalist physician in Ephrata, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 4, 2009.
## Identity
- **NPI:** 1013240258 (Entity type: Individual)
- **Enumerated:** September 4, 2009
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD459726 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 169 MARTIN AVE, Ephrata, PA 17522-1724
- **Phone:** (717) 721-4740
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Wellspan Medical Group (NPI 1215524913, Ephrata, PA); Tower Health Medical Group (NPI 1891036166, Wyomissing, PA); Pottstown Clinic Company LLC (NPI 1649341934, Pottstown, PA); Phoenixville Clinic Company LLC (NPI 1790746345, Limerick, PA); Critical Care Physicians Of Pennsylvania PC (NPI 1952670085, Darby, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** September 4, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1013240258) · Data from the CMS NPPES public registry.