DR. SAIRA ZAFAR MD
NPI 1871029199
Allergy & Immunology in Millburn, NJ

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
12 E WILLOW ST, MILLBURN, NJ 07041(973) 376-8500(973) 376-6295 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2020, May 1, 2018 (2 updates tracked since 2018).

About Dr. Saira Zafar Md NPPES

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

DR. SAIRA ZAFAR MD (NPI 1871029199) is an individual allergy & immunology provider in Millburn, New Jersey, licensed in New Jersey (25MA10960300) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chesterfield, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871029199
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameDR. SAIRA ZAFARCredential: MD
Location Address12 E WILLOW STMillburn, NJ 07041-1417
Mailing Address12 E Willow StMillburn, NJ 07041-1417 · (973) 376-8500 · Fax (973) 376-1820
Fax(973) 376-6295
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 5, 2017
Last NPPES UpdateFebruary 25, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
✔ NPI 1871029199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Licenses✔ Licensed in NJ · 25MA10960300✔ Licensed in NY · 309098✔ Licensed in MO · 2025043905
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
12 E WILLOW ST, Millburn, NJ 07041

Secondary Practice Location 1

Location 11001 Chesterfield Pkwy E Ste 101Chesterfield, MO 63017-2167 · Phone (314) 878-3839 · Fax (314) 878-6575

Accepted 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. Saira Zafar 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 ID6800294984
PECOS Enrollment IDI20211004001098, I20251015001834, I20251015002595, I20251028003405, I20251205003755
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

11

Medicare enrollment records show Saira Zafar reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
5 FRANKLIN AVE, SUITE 102
Belleville, NJ 07109
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Dermatology
110 E 55TH ST FL 14
New York, NY 10022
  • Reassigned Medicare billing, New York enrollment
  • 187 clinicians in this Medicare group
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
Dermatology
761 MAIN AVE, SUITE 102
Norwalk, CT 06851
  • Reassigned Medicare billing, Connecticut enrollment
  • 29 clinicians in this Medicare group
Dermatology
822 PINE ST, SUITE 2A
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 42 clinicians in this Medicare group
Dermatology
420 FRONT ST
Elmer, NJ 08318
  • Reassigned Medicare billing, New Jersey enrollment
  • 141 clinicians in this Medicare group
Dermatology
621 S NEW BALLAS RD, SUITE 498A
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 16 clinicians in this Medicare group
Dermatology
1132 E NORTH BLVD
Leesburg, FL 34748
  • Reassigned Medicare billing, Florida enrollment
  • 39 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.

Areas of Expertise CMS Part B claims 2

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.
15 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
12 E WILLOW ST
MILLBURN, NJ 07041
Dermatology
12 E WILLOW ST
MILLBURN, NJ 07041
Dermatology
12 E WILLOW ST
MILLBURN, NJ 07041
Dermatology
12 E WILLOW ST
MILLBURN, NJ 07041
Nurse Practitioner (Family)
12 E WILLOW ST
MILLBURN, NJ 07041

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 Saira Zafar's NPI number?

The NPI number for Saira Zafar is 1871029199. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Saira Zafar located?

Saira Zafar practices at 12 E Willow St, Millburn, NJ 07041. The listed phone number is (973) 376-8500.

What is Saira Zafar's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Saira Zafar enrolled in Medicare?

Yes. Saira Zafar 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 Saira Zafar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saira Zafar reassigns Medicare benefits to 11 organizations: Hudson-Essex Allergy LLC (Belleville, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Schweiger Dermatology PLLC (New York, NY), Medical Associates Of Englewood, PC (Englewood, NJ), Optum Medical Care Of New Jersey PC (New Hyde Park, NY) and 6 more organizations, listed in the Medicare section above. 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 Saira Zafar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saira Zafar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Saira Zafar 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 Saira Zafar was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.