DR. DAFFER GHANIM M.D.
NPI 1831687755
Student in an Organized Health Care Education/Training Program in Denver, CO

Active since April 26, 2018PECOS Enrolled
3055 ROSLYN STREET, SUITE #100, DENVER, CO 80238(720) 553-2696(720) 848-9050 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2018, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Daffer Ghanim M.d. NPPES

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

DR. DAFFER GHANIM M.D. (NPI 1831687755) is an individual student in an organized health care education/training program in Denver, Colorado, licensed in Colorado (TL.0007036) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831687755
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DAFFER GHANIMCredential: M.D.
Location Address3055 ROSLYN STREET, SUITE #100Denver, CO 80238
Mailing Address3055 Roslyn Street, Suite #100Denver, CO 80238 · (720) 553-2696 · Fax (720) 848-9050
Fax(720) 848-9050
Sole ProprietorNo
Enumeration DateApril 26, 2018
Last NPPES UpdateDecember 10, 20182 updates tracked since enumeration
NPI 1831687755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CO · TL.0007036
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3055 ROSLYN STREET, Denver, CO 80238

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Daffer Ghanim M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Daffer Ghanim's NPI number?

The NPI number for Daffer Ghanim is 1831687755. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Daffer Ghanim located?

Daffer Ghanim practices at 3055 Roslyn Street Suite #100, Denver, CO 80238. The listed phone number is (720) 553-2696.

What is Daffer Ghanim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daffer Ghanim enrolled in Medicare?

Yes. Daffer Ghanim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daffer Ghanim was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.