MADEEHA ABDUL GHAFFAR
NPI 1194276063
Internal Medicine in Elkton, MD
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Madeeha Abdul Ghaffar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elkton, MD 21921
- Reassigned Medicare billing, Maryland enrollment
- 512 clinicians in this Medicare group
Elkton, MD 21921
- Reassigned Medicare billing, Maryland and Delaware enrollments
- Also billed through NPI 1780056168 (Delaware)
- 94 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 64 clinicians in this Medicare group
Annapolis, MD 21403
- Reassigned Medicare billing, Maryland enrollment
- 21 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 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 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, MDPhysician 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.
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.
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.
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.
ELKTON, MD 21921
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.
Which organizations bill Medicare for Madeeha Abdul Ghaffar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madeeha Abdul Ghaffar reassigns Medicare benefits to 4 organizations: Union Hospital Of Cecil County (Elkton, MD), M Medical Group, Inc. (Elkton, MD), Nephrology Associates PA (Newark, DE) and M Management Group LLC (Annapolis, MD). 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 Madeeha Abdul Ghaffar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madeeha Abdul Ghaffar accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Highmark Blue Cross Blue Shield Delaware 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 6 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.
# Madeeha Abdul Ghaffar · NPI 1194276063
Internal Medicine physician in Elkton, Maryland. Individual provider, active in the CMS NPPES registry since October 17, 2016.
## Identity
- **NPI:** 1194276063 (Entity type: Individual)
- **Enumerated:** October 17, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D0000000 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 106 BOW ST, Elkton, MD 21921-5544
- **Phone:** (410) 398-4000
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Union Hospital Of Cecil County (NPI 1124067848, Elkton, MD); M Medical Group, Inc. (NPI 1881400067, Elkton, MD); Nephrology Associates PA (NPI 1407805203, Newark, DE); M Management Group LLC (NPI 1760298574, Annapolis, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194276063) · Data from the CMS NPPES public registry.