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SUFANA ZAFAR M.D.
NPI 1386855781
Pediatrics in Port Matilda, PA

Active since May 25, 2007PECOS Enrolled
132 ABIGAIL LANE, PORT MATILDA, PA 16870(814) 272-7100(814) 272-6501 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sufana Zafar M.d. NPPES

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

SUFANA ZAFAR M.D. (NPI 1386855781) is an individual pediatrics provider in Port Matilda, Pennsylvania, licensed in Pennsylvania (MD440511) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Elgin.

NPPES Registry Identity

NPI1386855781
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUFANA ZAFARCredential: M.D.
Location Address132 ABIGAIL LANEPort Matilda, PA 16870-5700
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Phone(814) 272-7100
Fax(814) 272-6501
Sole ProprietorNo
Enumeration DateMay 25, 2007
Last NPPES UpdateMay 19, 2025
NPPES CertifiedMay 19, 2025
✔ NPI 1386855781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD440511✔ Licensed in IL · 036.173167✔ Licensed in PA · MT190414
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
132 ABIGAIL LANE, Port Matilda, PA 16870
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Other Names 1

Other Name (5)Miss Sufana Khan

Secondary Practice Location 1

Location 11425 N Randall RdElgin, IL 60123-2300 · Phone (224) 783-5437 · Fax (224) 783-2811

Other Identifiers 1

Other209717PA · Provider Id#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sufana Zafar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Sufana Zafar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
Same address
Family Medicine
132 ABIGAIL LANE
Port Matilda, PA 16870
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1083874770 (814) 272-7100
Geisinger-Hm Joint Venture, LLC
33 mi
Family Medicine
529 HIGH ST
Lock Haven, PA 17745
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,405 clinicians in this Medicare group
NPI 1427604222 (570) 748-8038
Advocate Health And Hospitals Corp.
511 mi
Cardiovascular Disease
3118 N ASHLAND AVE
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1487951711 (773) 880-9722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16870 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 15

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

GEISINGER CLINIC
Family Medicine
132 ABIGAIL LANE
PORT MATILDA, PA 16870
Centre County (814) 272-7100
SABRINA KUM WHITEHURST M.D.
Obstetrics & Gynecology (Obstetrics)
132 ABIGAIL LANE
PORT MATILDA, PA 16870
Centre County (814) 272-7100
DR. MONA D DUNCAN M.D.
Surgery
132 ABIGAIL LANE
PORT MATILDA, PA 16870
Centre County (814) 272-5011
CRYSTAL MICHELE DUFFY DO
Pediatrics
132 ABIGAIL LANE
PORT MATILDA, PA 16870
Centre County (814) 272-7100
MRS. JESSICA ERIN PARK RN
Registered Nurse (Women's Health Care, Ambulatory)
132 ABIGAIL LANE
PORT MATILDA, PA 16870
Centre County (814) 272-7713
DR. JAMES BRADBURY DO
Internal Medicine (Cardiovascular Disease)
132 ABIGAIL LANE
PORT MATILDA, PA 16870
Centre County (570) 271-6211
UNIVERSAL COMMUNITY BEHAVIORAL HEALTH INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
132 ABIGAIL LANE
PORT MATILDA, PA 16870
Centre County (814) 364-2161
MRS. KAREN MARIE BROOKS RN
Registered Nurse (Women's Health Care, Ambulatory)
132 ABIGAIL LANE
PORT MATILDA, PA 16870
Centre County (814) 272-7713

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 Sufana Zafar's NPI number?

The NPI number for Sufana Zafar is 1386855781. It was assigned to this individual provider in the NPPES registry on May 25, 2007. The provider is also known as Miss Sufana Khan.

Where is Sufana Zafar located?

Sufana Zafar practices at 132 Abigail Lane, Port Matilda, PA 16870. The listed phone number is (814) 272-7100.

What is Sufana Zafar's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sufana Zafar enrolled in Medicare?

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

Which organizations bill Medicare for Sufana Zafar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sufana Zafar reassigns Medicare benefits to 3 organizations: Geisinger Clinic (Port Matilda, PA), Geisinger-Hm Joint Venture, LLC (Lock Haven, PA) and Advocate Health And Hospitals Corp. (Chicago, IL). 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 Sufana Zafar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sufana Zafar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sufana 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.

When was this NPI record last updated?

The NPPES record for Sufana Zafar was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.