1. Home
  2. Directory
  3. Maryland
  4. Elkton
  5. Internal Medicine
  6. NPI Profile

MOHAMMAD BASIT AFZAL M.D.
NPI 1306890611
Internal Medicine in Elkton, MD

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
677 E PULASKI HWY STE 1B, ELKTON, MD 21921(410) 398-0215(443) 593-3725 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2023, Dec 9, 2021 (2 updates tracked since 2021).

About Mohammad Basit Afzal M.d. NPPES

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

MOHAMMAD BASIT AFZAL M.D. (NPI 1306890611) is an individual internal medicine provider in Elkton, Maryland, licensed in Maryland (D0066102) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1306890611
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAMMAD BASIT AFZALCredential: M.D.
Location Address677 E PULASKI HWY STE 1BElkton, MD 21921-6057
Mailing Address677 E Pulaski Hwy Ste 1bElkton, MD 21921-6057 · (410) 398-0215 · Fax (443) 593-3725
Phone(410) 398-0215
Fax(443) 593-3725
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1306890611 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 · D0066102
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 ListedPhlebologyTaxonomy 202K00000X · License D0066102 (MD)
677 E PULASKI HWY STE 1B, Elkton, MD 21921
Open in Google Maps ↗

Accepted Insurance

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

Mohammad Basit Afzal 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.

PECOS PAC ID3577597558
PECOS Enrollment IDI20070924000339
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 Reassignments

2

Medicare enrollment records show Mohammad Afzal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Delaware Medicine & Obgyn LLC
Same address
Internal Medicine
677 E PULASKI HWY STE 1B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland enrollment
NPI 1356866032 (410) 398-0215
Tri-State Health, Inc.
1.5 mi
Specialist
107 N BRIDGE ST
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland enrollment
  • 8 clinicians in this Medicare group
NPI 1255409082 (410) 392-6408

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 5

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.

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.
270 services112 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.
234 services116 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 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.
19 services19 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services15 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers20 claims68 services$5.78 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers53 claims53 services$196.41 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 4

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

MID-ATLANTIC INSTITUTE OF VENOUS AND LYMPHATIC MEDICINE LLC
Phlebology
677 E PULASKI HWY STE 1B
ELKTON, MD 21921
Cecil County (410) 398-0215
DELAWARE MEDICINE & OBGYN LLC
Internal Medicine
677 E PULASKI HWY STE 1B
ELKTON, MD 21921
Cecil County (410) 398-0215
AHMED FARGHAL AHMED
Chiropractor
677 E PULASKI HWY STE 1B
ELKTON, MD 21921
Cecil County (410) 398-0590
SPECIALIZED CHIROPRACTIC CARE, LLC
Clinic/Center
677 E PULASKI HWY STE 1B
ELKTON, MD 21921
Cecil County (302) 595-3670

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 Mohammad Afzal's NPI number?

The NPI number for Mohammad Afzal is 1306890611. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Mohammad Afzal located?

Mohammad Afzal practices at 677 E Pulaski Hwy Ste 1B, Elkton, MD 21921. The listed phone number is (410) 398-0215.

What is Mohammad Afzal's specialty?

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

Is Mohammad Afzal enrolled in Medicare?

Yes. Mohammad Afzal 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 Mohammad Afzal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Afzal reassigns Medicare benefits to 2 organizations: Delaware Medicine & Obgyn LLC (Elkton, MD) and Tri-State Health, Inc. (Elkton, 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 Mohammad Afzal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Afzal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Mohammad Afzal 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 Mohammad Afzal affiliated with any hospitals?

According to CMS data, Mohammad Afzal is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Mohammad Afzal was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.