DR. NAILA GHAFOOR MD
NPI 1629538418
Pain Medicine - Pain Medicine in Loma Linda, CA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4344(909) 558-7941 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Nov 14, 2024, Oct 31, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Naila Ghafoor Md NPPES

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

DR. NAILA GHAFOOR MD (NPI 1629538418) is an individual pain medicine provider in Loma Linda, California, licensed in Texas (V4672) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and maintains a secondary practice location in Texarkana.

NPPES Registry Identity

NPI1629538418
Entity TypeIndividualFemale
Primary Taxonomy208VP0000X
Provider Legal NameDR. NAILA GHAFOORCredential: MD
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address11234 Anderson StLoma Linda, CA 92350-1716 · (909) 558-7171 · Fax (909) 558-0793
Fax(909) 558-7941
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1629538418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License Licensed in TX · V4672
Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedEmergency MedicineTaxonomy 207P00000X · License A184777 (CA)
11234 ANDERSON ST, Loma Linda, CA 92354

Secondary Practice Location 1

Location 12604 Saint Michael Dr Ste 410Texarkana, TX 75503-2378 · Phone (903) 614-5601

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Naila Ghafoor Md 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 ID345603726
PECOS Enrollment IDI20241121002017
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.

Hospital Affiliations CMS Care Compare

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

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

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 Naila Ghafoor's NPI number?

The NPI number for Naila Ghafoor is 1629538418. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Naila Ghafoor located?

Naila Ghafoor practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4344.

What is Naila Ghafoor's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Naila Ghafoor enrolled in Medicare?

Yes. Naila Ghafoor 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.

What insurance does Naila Ghafoor accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and UnitedHealthcare list Naila Ghafoor 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 Naila Ghafoor affiliated with any hospitals?

According to CMS data, Naila Ghafoor is affiliated with Christus St Michael Health System.

When was this NPI record last updated?

The NPPES record for Naila Ghafoor was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.