DR. NAILA GHAFOOR MD
NPI 1629538418
Pain Medicine - Pain Medicine in Loma Linda, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Naila Ghafoor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92350
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Texarkana, TX 75503
- Reassigned Medicare billing, Texas enrollment
- 128 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TXPhysician 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.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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.
Which organizations bill Medicare for Naila Ghafoor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Naila Ghafoor reassigns Medicare benefits to 3 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA), Christus Trinity Clinic Texas (Tyler, TX) and Union Emergency Physicians, PLLC (Texarkana, TX). 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 Naila Ghafoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Naila Ghafoor accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Health Advantage, Octave and Oscar Health and 2 other insurers 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Naila Ghafoor, MD · NPI 1629538418
Pain Medicine physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1629538418 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **State license:** V4672 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4344 · **Fax:** (909) 558-7941
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1477503407, Loma Linda, CA); Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); Union Emergency Physicians, PLLC (NPI 1023798501, Texarkana, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2019
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629538418) · Data from the CMS NPPES public registry.