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NADIA ZAFAR MD
NPI 1194302430
Internal Medicine in Cape Elizabeth, ME

Active since March 24, 2021PECOS Enrolled
155 SPURWINK AVE, CAPE ELIZABETH, ME 04107(207) 767-2174(207) 767-1348 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2026, Jul 24, 2024, Mar 24, 2021 (3 updates tracked since 2021).

About Nadia Zafar Md NPPES

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

NADIA ZAFAR MD (NPI 1194302430) is an individual internal medicine provider in Cape Elizabeth, Maine, licensed in Maine (MD28025) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1194302430
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNADIA ZAFARCredential: MD
Location Address155 SPURWINK AVECape Elizabeth, ME 04107-9604
Mailing Address155 Spurwink AveCape Elizabeth, ME 04107-9604 · (207) 767-2174 · Fax (207) 767-1348
Phone(207) 767-2174
Fax(207) 767-1348
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1194302430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD28025
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.
155 SPURWINK AVE, Cape Elizabeth, ME 04107
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Secondary Practice Location 1

Location 122 Bramhall StPortland, ME 04102-3175 · Phone (207) 662-2911 · Fax (207) 662-6006

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nadia Zafar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406257229
PECOS Enrollment IDI20240807003733
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.

Medicare Billing Reassignment

Medicare enrollment records show Nadia Zafar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth
Same address
Internal Medicine
155 SPURWINK AVE
Cape Elizabeth, ME 04107
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1619281698 (207) 767-2174

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.

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.
23 services23 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.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04107 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$4.47 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 14

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

CHRISTOPHER A WELLINS MD
Internal Medicine
155 SPURWINK AVE
CAPE ELIZABETH, ME 04107
Cumberland County (207) 767-2174
MRS. KAILEE O'NEIL D'ANGELO FNP
Nurse Practitioner (Family)
155 SPURWINK AVE
CAPE ELIZABETH, ME 04107
Cumberland County (207) 767-2174
INTERNAL MEDICINE ON THE CAPE
Internal Medicine
155 SPURWINK AVE, SUITE G-2
CAPE ELIZABETH, ME 04107
Cumberland County (207) 799-4100
SARAH NIX FNP
Nurse Practitioner (Family)
155 SPURWINK AVE
CAPE ELIZABETH, ME 04107
Cumberland County (207) 767-2174
HANNAH MULLINS TOOTHAKER FNP
Nurse Practitioner (Family)
155 SPURWINK AVE
CAPE ELIZABETH, ME 04107
Cumberland County (207) 767-2174
CASSANDRA PATENEAUDE FNP
Nurse Practitioner (Family)
155 SPURWINK AVE
CAPE ELIZABETH, ME 04107
Cumberland County (207) 767-2174
MAINE MEDICAL PARTNERS
Internal Medicine
155 SPURWINK AVE
CAPE ELIZABETH, ME 04107
Cumberland County (207) 767-2174
STEPHANIE FORTIER
Dental Hygienist
155 SPURWINK AVE
CAPE ELIZABETH, ME 04107
Cumberland County (207) 767-3241

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 Nadia Zafar's NPI number?

The NPI number for Nadia Zafar is 1194302430. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Nadia Zafar located?

Nadia Zafar practices at 155 Spurwink Ave, Cape Elizabeth, ME 04107. The listed phone number is (207) 767-2174.

What is Nadia Zafar's specialty?

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

Is Nadia Zafar enrolled in Medicare?

Yes. Nadia Zafar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nadia Zafar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nadia Zafar reassigns Medicare benefits to Mainehealth (Cape Elizabeth, ME). The 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 Nadia Zafar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nadia Zafar accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Nadia Zafar 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 Nadia Zafar affiliated with any hospitals?

According to CMS data, Nadia Zafar is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Nadia Zafar was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.