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SAMIRA AFZALI CPNP-AC
NPI 1770461592
Nurse Practitioner - Pediatrics in Ellicott City, MD

Active since August 21, 2025PECOS Enrolled
4728 DORSEY HALL DR UNIT 810, ELLICOTT CITY, MD 21042(443) 820-7658 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samira Afzali Cpnp-ac NPPES

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

SAMIRA AFZALI CPNP-AC (NPI 1770461592) is an individual pediatrics provider in Ellicott City, Maryland, licensed in Maryland (R231920) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770461592
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMIRA AFZALICredential: CPNP-AC
Location Address4728 DORSEY HALL DR UNIT 810Ellicott City, MD 21042-7701
Mailing Address4728 Dorsey Hall Dr Unit 810Ellicott City, MD 21042-7701 · (443) 820-7658
Phone(443) 820-7658
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1770461592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R231920
4728 DORSEY HALL DR UNIT 810, Ellicott City, MD 21042
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samira Afzali Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618451592
PECOS Enrollment IDI20260318003419
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21042 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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 Samira Afzali's NPI number?

The NPI number for Samira Afzali is 1770461592. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Samira Afzali located?

Samira Afzali practices at 4728 Dorsey Hall Dr Unit 810, Ellicott City, MD 21042. The listed phone number is (443) 820-7658.

What is Samira Afzali's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Samira Afzali enrolled in Medicare?

Yes. Samira Afzali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samira Afzali was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.