SAMIRA AFZALI CPNP-AC
NPI 1770461592
Nurse Practitioner - Pediatrics in Ellicott City, MD
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 University Of Maryland School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samira Afzali Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samira Afzali reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22031
- Reassigned Medicare billing, District of Columbia enrollment
- 2,618 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.
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.
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.
Which organization bills Medicare for Samira Afzali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samira Afzali reassigns Medicare benefits to Inova Health Care Services (Fairfax, VA). The 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 Samira Afzali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samira Afzali accept?
Health plans from Oscar Health list Samira Afzali 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.
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 14 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.
# Samira Afzali, CPNP-AC · NPI 1770461592
Pediatrics physician in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since August 21, 2025.
## Identity
- **NPI:** 1770461592 (Entity type: Individual)
- **Enumerated:** August 21, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R231920 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4728 DORSEY HALL DR UNIT 810, Ellicott City, MD 21042-7701
- **Phone:** (443) 820-7658
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Inova Health Care Services (NPI 1669511051, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** August 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1770461592) · Data from the CMS NPPES public registry.