MADEEHA ABDUL GHAFFAR
NPI 1194276063
Internal Medicine in Elkton, MD

Q: What is Madeeha Abdul Ghaffar's NPI number?

The NPI number for Madeeha Abdul Ghaffar is 1194276063. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Q: What is Madeeha Abdul Ghaffar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 17, 2016PECOS EnrolledAccepts Medicare Assignment

78.87/100

CMS Quality Rating

106 BOW ST, ELKTON, MD 21921(410) 398-4000 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Oct 17, 2016 (2 updates tracked since 2016).

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About Madeeha Abdul Ghaffar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADEEHA ABDUL GHAFFAR (NPI 1194276063) is an individual internal medicine provider in Elkton, Maryland, licensed in Maryland (D0000000) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1194276063

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMADEEHA ABDUL GHAFFAR

Location Address106 BOW STElkton, MD 21921-5544

Mailing Address228 Bentley DrOxford, PA 19363-1592

Phone(410) 398-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 17, 2016

Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2020

✔ NPI 1194276063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D0000000

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

106 BOW ST, Elkton, MD 21921

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Secondary Practice Location 1

Location 1475 Seaview AveStaten Island, NY 10305-3436 · Phone (718) 226-8168 · Fax (718) 226-1647

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeeha Abdul Ghaffar 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.

PECOS PAC ID8729323357

PECOS Enrollment IDI20200818002183, I20231218002356

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

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 discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

296 services269 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

294 services180 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

180 services123 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

132 services99 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

71 services61 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

62 services62 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

36 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210032

Location106 Bow StreetElkton, MD 21921 · Cecil County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21921 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.2

Promoting Interoperability

Improvement Activities

Cost

57.04

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers28 claims28 services$15.27 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers28 claims28 services$71.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MELISSA DANIELLE EDMOND PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

106 BOW ST
ELKTON, MD 21921

Cecil County (410) 398-4000

VIVIAN FERRARA-MACHADO

Social Worker (Clinical)

106 BOW ST
ELKTON, MD 21921

Cecil County (410) 398-4000

DR. BHRUGISHA R PATEL PHARMD., MBA

Pharmacist

106 BOW ST
ELKTON, MD 21921

Cecil County (410) 398-4000

DEANNA BROOKS LMSW

Social Worker

106 BOW ST
ELKTON, MD 21921

Cecil County (410) 398-4000

MDICS AT UNION CECIL COUNTY, LLC

Hospitalist

106 BOW ST
ELKTON, MD 21921

Cecil County (443) 949-0814

UNION HOSPITAL OF CECIL COUNTY

Internal Medicine

106 BOW ST
ELKTON, MD 21921

Cecil County (410) 398-4510

MRS. KELLY LYNN JENKINS CRNP-FAMILY

Nurse Practitioner (Family)

106 BOW ST
ELKTON, MD 21921

Cecil County (443) 406-1370

DR. KELLY SENNETT HAWJ PHARMD

Pharmacist

106 BOW ST
ELKTON, MD 21921

Cecil County (410) 392-7072

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 Madeeha Abdul Ghaffar's NPI number?

The NPI number for Madeeha Abdul Ghaffar is 1194276063. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Madeeha Abdul Ghaffar located?

Madeeha Abdul Ghaffar practices at 106 Bow St, Elkton, MD 21921. The listed phone number is (410) 398-4000.

What is Madeeha Abdul Ghaffar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Madeeha Abdul Ghaffar enrolled in Medicare?

Yes. Madeeha Abdul Ghaffar 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.

What insurance does Madeeha Abdul Ghaffar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Madeeha Abdul Ghaffar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Madeeha Abdul Ghaffar affiliated with any hospitals?

According to CMS data, Madeeha Abdul Ghaffar is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Madeeha Abdul Ghaffar was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.