1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Internal Medicine
  6. NPI Profile

OMER AFZAL MD
NPI 1881093052
Internal Medicine in Cleveland, OH

Active since August 13, 2014PECOS EnrolledAccepts Medicare Assignment
18101 LORAIN AVE, CLEVELAND, OH 44111(216) 476-7000 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2024, Feb 5, 2024 (2 updates tracked since 2024).

About Omer Afzal Md NPPES

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

OMER AFZAL MD (NPI 1881093052) is an individual internal medicine provider in Cleveland, Ohio, licensed in Georgia (101615) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1881093052
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOMER AFZALCredential: MD
Location Address18101 LORAIN AVECleveland, OH 44111-5612
Mailing Address18101 Lorain AveCleveland, OH 44111-5612
Phone(216) 476-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 13, 2014
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1881093052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 101615✔ Licensed in FL · ME131598✔ Licensed in OH · 57.024098
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License ME131598 (FL)
18101 LORAIN AVE, Cleveland, OH 44111
Open in Google Maps ↗

Secondary Practice Location 1

Location 1820 Prudential Dr Ste 304Jacksonville, FL 32207-8205 · Phone (904) 202-3860 · Fax (904) 202-3846

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health, Oscar Insurance Company.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

Omer Afzal 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 ID143590505
PECOS Enrollment IDI20250129000188
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

5

Medicare enrollment records show Omer Afzal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Physicians Of Illinois, LLC
492 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 301 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Cogent Healthcare Of Missouri, Inc
501 mi
Critical Care Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 255 clinicians in this Medicare group
NPI 1780961599 (615) 377-5600
Anemonefish Inpatient Services LLC
553 mi
Internal Medicine
5126 HOSPITAL DR NE
Covington, GA 30014
  • Reassigned Medicare billing, Georgia enrollment
  • 81 clinicians in this Medicare group
NPI 1033514716 (954) 939-5000
Baptist Primary Care Inc
744 mi
Family Medicine
220 S 14TH ST
Fernandina Beach, FL 32034
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1275714214 (904) 491-3688
Hospital Physician Services Of Florida PA
812 mi
Hospitalist
8383 N DAVIS HWY
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 601 clinicians in this Medicare group
NPI 1558718635 (850) 494-4000

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
74 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44111 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.

Other Providers at the Same Location NPPES 20

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

JOSEPH EL DAHDAH MD
Student in an Organized Health Care Education/Training Program
18101 LORAIN AVE
CLEVELAND, OH 44111
Cuyahoga County (216) 418-4542
MEGHAN FOX FNP-C
Nurse Practitioner (Family)
18101 LORAIN AVE
CLEVELAND, OH 44111
Cuyahoga County (216) 476-7000
THE CLEVELAND CLINIC FOUNDATION
Pharmacy (Clinic Pharmacy)
18101 LORAIN AVE
CLEVELAND, OH 44111
Cuyahoga County (216) 476-7119
MRS. CHRISLYN PALUMBO LISW-S
Social Worker (Clinical)
18101 LORAIN AVE
CLEVELAND, OH 44111
Cuyahoga County (216) 527-6440
NANCY C HABERMANN PA-C
Physician Assistant
18101 LORAIN AVE
CLEVELAND, OH 44111
Cuyahoga County (216) 476-7000
DR. AMANDA ROSE MOOK ROLON D.O.
Psychiatry & Neurology (Neurology)
18101 LORAIN AVE
CLEVELAND, OH 44111
Cuyahoga County (216) 671-2205
DR. LEEN SABBOOBA MD
Student in an Organized Health Care Education/Training Program
18101 LORAIN AVE
CLEVELAND, OH 44111
Cuyahoga County (216) 476-7000
DR. BLAIN TESFAYE MD
Emergency Medicine
18101 LORAIN AVE
CLEVELAND, OH 44111
Cuyahoga County (216) 476-7000

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 Omer Afzal's NPI number?

The NPI number for Omer Afzal is 1881093052. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Omer Afzal located?

Omer Afzal practices at 18101 Lorain Ave, Cleveland, OH 44111. The listed phone number is (216) 476-7000.

What is Omer Afzal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Omer Afzal enrolled in Medicare?

Yes. Omer Afzal 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 Omer Afzal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omer Afzal reassigns Medicare benefits to 5 organizations: Sound Physicians Of Illinois, LLC (Bridgeton, MO), Cogent Healthcare Of Missouri, Inc (Fenton, MO), Anemonefish Inpatient Services LLC (Covington, GA), Baptist Primary Care Inc (Fernandina Beach, FL) and Hospital Physician Services Of Florida PA (Pensacola, FL). 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 Omer Afzal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omer Afzal accept?

Health plans from AvMed, Oscar Health and Oscar Insurance Company list Omer Afzal 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.

Is Omer Afzal affiliated with any hospitals?

According to CMS data, Omer Afzal is affiliated with Piedmont Newton Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Omer Afzal was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.