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DR. ASMA RAHMAN GHAFOOR M.D., MPH
NPI 1811126493
Pain Medicine - Pain Medicine in Dayton, OH

Active since July 05, 2009PECOS EnrolledAccepts Medicare Assignment
1 ELIZABETH PL # 20NW, DAYTON, OH 45417(937) 280-4970 Get Directions Write a Review

NPPES record last updated: March 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2020, Oct 23, 2018 (2 updates tracked since 2018).

About Dr. Asma Rahman Ghafoor M.d., Mph NPPES

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

DR. ASMA RAHMAN GHAFOOR M.D., MPH (NPI 1811126493) is an individual pain medicine provider in Dayton, Ohio, licensed in Illinois (036139095) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Columbia University College Of Physicians And Surgeons (2014).

NPPES Registry Identity

NPI1811126493
Entity TypeIndividualFemale
Primary Taxonomy208VP0000X
Provider Legal NameDR. ASMA RAHMAN GHAFOORCredential: M.D., MPH
Location Address1 ELIZABETH PL # 20NWDayton, OH 45417-3445
Mailing Address150 Forest Ave Unit 1404Oak Park, IL 60301-1457 · (630) 200-9116
Phone(937) 280-4970
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2014
Enumeration DateJuly 5, 2009
Last NPPES UpdateMarch 2, 20202 updates tracked since enumeration
NPPES CertifiedMarch 2, 2020
✔ NPI 1811126493 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 IL · 036139095
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 ListedFamily MedicineTaxonomy 207Q00000X · License 036139095 (IL)
1 ELIZABETH PL # 20NW, Dayton, OH 45417
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Secondary Practice Location 1

Location 1350 E 52nd St Apt 3HNew York, NY 10022-6741 · Phone (630) 200-9116

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..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. Asma Rahman Ghafoor M.d., Mph 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 ID2860792231
PECOS Enrollment IDI20151208001378
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Asma Ghafoor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Karas PC
229 mi
Pain Medicine
60 ORLAND SQUARE DR STE 101
Orland Park, IL 60462
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1598176661 (708) 914-5145
Laser Spine Center Of Chicago LLC
230 mi
Pain Medicine
16604 107TH ST
Orland Park, IL 60467
  • Reassigned Medicare billing, Illinois enrollment
  • 12 clinicians in this Medicare group
NPI 1801303714 (847) 854-5192

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 45417 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Asma Ghafoor's NPI number?

The NPI number for Asma Ghafoor is 1811126493. It was assigned to this individual provider in the NPPES registry on July 5, 2009.

Where is Asma Ghafoor located?

Asma Ghafoor practices at 1 Elizabeth Pl # 20nw, Dayton, OH 45417. The listed phone number is (937) 280-4970.

What is Asma Ghafoor's specialty?

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

Is Asma Ghafoor enrolled in Medicare?

Yes. Asma 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 Asma Ghafoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asma Ghafoor reassigns Medicare benefits to 2 organizations: Karas PC (Orland Park, IL) and Laser Spine Center Of Chicago LLC (Orland Park, IL). 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 Asma Ghafoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Asma Ghafoor accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Asma 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.

When was this NPI record last updated?

The NPPES record for Asma Ghafoor was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.