DR. SIDRAH GHAFFAR DO
NPI 1528625548
Internal Medicine in Elizabethtown, NC

Q: What is Sidrah Ghaffar's NPI number?

The NPI number for Sidrah Ghaffar is 1528625548. It was assigned to this individual provider in the NPPES registry on May 24, 2019.

Q: What is Sidrah Ghaffar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sidrah Ghaffar was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 24, 2019PECOS EnrolledAccepts Medicare Assignment

501 S POPLAR ST, ELIZABETHTOWN, NC 28337(910) 862-5100 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2025, Jun 3, 2025, May 14, 2025 and 3 more (6 updates tracked since 2019).

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About Dr. Sidrah Ghaffar Do NPPES

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

DR. SIDRAH GHAFFAR DO (NPI 1528625548) is an individual internal medicine provider in Elizabethtown, North Carolina, licensed in North Carolina (2024-02737) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2019).

NPPES Registry Identity

NPI1528625548

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SIDRAH GHAFFARCredential: DO

Location Address501 S POPLAR STElizabethtown, NC 28337-9375

Mailing Address222 Herlong Ave SRock Hill, SC 29732-1158 · (803) 323-1234

Phone(910) 862-5100

Sole ProprietorNo

Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2019

Enumeration DateMay 24, 2019

Last NPPES UpdateJune 9, 20256 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1528625548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in NC · 2024-02737✔ Licensed in VA · 0102207123✔ Licensed in VA · 0116033072✔ Licensed in SC · 89901✔ Licensed in OH · 34.017481

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.

501 S POPLAR ST, Elizabethtown, NC 28337

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Secondary Practice Locations 2

Location 1222 Herlong Ave SRock Hill, SC 29732-1158 · Phone (803) 323-1234

Location 2210 Medical Pavilion DrRaeford, NC 28376-9111 · Phone (910) 904-8445

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.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

Dr. Sidrah Ghaffar Do 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 ID143653857

PECOS Enrollment IDI20220601000063, I20250603002476, I20250620003120, I20250625002124, I20250707002539

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

Medicare enrollment records show Sidrah Ghaffar reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bladen Healthcare, LLC

Same address

Hospitalist

501 S POPLAR ST
Elizabethtown, NC 28337

Reassigned Medicare billing, North Carolina enrollment
170 clinicians in this Medicare group

NPI 1689018756 (910) 862-5179

Cumberland County Hospital System Inc

0.5 mi

Foot & Ankle Surgery

300 E MCKAY ST STE E
Elizabethtown, NC 28337

Reassigned Medicare billing, North Carolina enrollment
906 clinicians in this Medicare group

NPI 1255868980 (910) 737-6600

Southeastern Hospitalist Services PC

61 mi

Hospitalist

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, South Carolina enrollment
529 clinicians in this Medicare group

NPI 1003280108 (843) 692-1000

Danville Physician Practices LLC

141 mi

Rural Health

404 AIRPORT DR STE A
Danville, VA 24540

Reassigned Medicare billing, Virginia enrollment
204 clinicians in this Medicare group

NPI 1770260499 (434) 799-3802

Fletcher Hospital Inc

208 mi

Sports Medicine

89 W MILLS ST STE A
Columbus, NC 28722

Reassigned Medicare billing, North Carolina enrollment
349 clinicians in this Medicare group

NPI 1902634231 (828) 894-3718

Post Acute Telehealth PC

451 mi

Family Medicine

10123 ALLIANCE RD
Blue Ash, OH 45242

Reassigned Medicare billing, District of Columbia, Indiana, Maryland, Ohio, Pennsylvania, Virginia and West Virginia enrollments
45 clinicians in this Medicare group

NPI 1164011185 (513) 489-7100

PA Post Acute Services PC

467 mi

General Practice

8055 ADDISON RD
Masury, OH 44438

Reassigned Medicare billing, West Virginia enrollment
66 clinicians in this Medicare group

NPI 1255057063 (330) 448-2547

Apogee Medical Group Virginia, PC

1,902 mi

Internal Medicine

15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254

Reassigned Medicare billing, Virginia enrollment
121 clinicians in this Medicare group

NPI 1861660540 (602) 778-3600

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 4

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.

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.

370 services121 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.

257 services109 patients

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.

122 services120 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.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28337 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

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