Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NADEEM AFZAL MD
NPI 1760480727
Specialist in Augusta, GA

Active since July 13, 2005PECOS Enrolled
1109 MEDICAL CENTER DR, BUILDING #5, AUGUSTA, GA 30909(706) 863-6637(706) 863-6638 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nadeem Afzal Md NPPES

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

NADEEM AFZAL MD (NPI 1760480727) is an individual specialist in Augusta, Georgia, licensed in Georgia (053077) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1760480727
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameNADEEM AFZALCredential: MD
Location Address1109 MEDICAL CENTER DR, BUILDING #5Augusta, GA 30909-6633
Mailing Address1109 Medical Center Dr, Building #5Augusta, GA 30909-6633 · (706) 863-6637 · Fax (706) 863-6638
Fax(706) 863-6638
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJuly 13, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1760480727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 053077
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1109 MEDICAL CENTER DR, Augusta, GA 30909

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

Nadeem Afzal 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 ID3476523630
PECOS Enrollment IDI20040727000842
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.

Areas of Expertise CMS Part B claims 6

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 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.
374 services175 patients
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.
337 services47 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.
247 services20 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
72 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services32 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Louisville, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110100
Location1067 Peachtree StLouisville, GA 30434 · Jefferson County
Emergency services

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
48%29 patients3/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
34%4,558 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%281 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
10%351 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
66%505 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 81% · 390 patients
Patients tobacco: 80% · 390 patients
90%30 patients4/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
98%442 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Specialist
1109 MEDICAL CENTER DR, SUITE 8B
AUGUSTA, GA 30909
Legal Medicine
1109 MEDICAL CENTER DR, SUITE 1A
AUGUSTA, GA 30909
Ambulance (Air Transport)
1109 MEDICAL CENTER DR, BLDG 4
AUGUSTA, GA 30909
Internal Medicine (Nephrology)
1109 MEDICAL CENTER DR, BUILDING #5
AUGUSTA, GA 30909
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1109 MEDICAL CENTER DR, BUILDING 3
AUGUSTA, GA 30909
Specialist
1109 MEDICAL CENTER DR, SUITE 8B
AUGUSTA, GA 30909
Anesthesiology (Pain Medicine)
1109 MEDICAL CENTER DR, 8A
AUGUSTA, GA 30909
Family Medicine
1109 MEDICAL CENTER DR, SUITE 3
AUGUSTA, GA 30909

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 Nadeem Afzal's NPI number?

The NPI number for Nadeem Afzal is 1760480727. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Nadeem Afzal located?

Nadeem Afzal practices at 1109 Medical Center Dr Building #5, Augusta, GA 30909. The listed phone number is (706) 863-6637.

What is Nadeem Afzal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nadeem Afzal enrolled in Medicare?

Yes. Nadeem 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.

What insurance does Nadeem Afzal accept?

Health plans from Alliant Health Plans, Inc. list Nadeem 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 Nadeem Afzal affiliated with any hospitals?

According to CMS data, Nadeem Afzal is affiliated with Piedmont Augusta Hospital, Au Medical Center, Jefferson Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Nadeem Afzal was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.