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NIZAR CHAFIC CHARAFEDDINE MD
NPI 1912090317
Internal Medicine - Gastroenterology in Pearland, TX

Active since September 30, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
2813 SMITH RANCH ROAD, PEARLAND, TX 77584(713) 436-8166(913) 436-8168 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2026, Jan 13, 2022, Aug 21, 2018 (3 updates tracked since 2018).

About Nizar Chafic Charafeddine Md NPPES

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

NIZAR CHAFIC CHARAFEDDINE MD (NPI 1912090317) is an individual gastroenterology provider in Pearland, Texas, licensed in Texas (K6821) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Christian Hospital Northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912090317
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNIZAR CHAFIC CHARAFEDDINECredential: MD
Location Address2813 SMITH RANCH ROADPearland, TX 77584
Mailing AddressPo Box 272486Houston, TX 77277-2486 · (713) 439-8166 · Fax (713) 436-8168
Phone(713) 436-8166
Fax(913) 436-8168
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 30, 2006
Last NPPES UpdateFebruary 9, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
✔ NPI 1912090317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in TX · K6821✔ Licensed in OH · 35.141601✔ Licensed in IL · 036145783✔ Licensed in MO · 2026000257
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2813 SMITH RANCH ROAD, Pearland, TX 77584
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111155 Dunn Rd Ste 309ESaint Louis, MO 63136-6111 · Phone (314) 953-8799 · Fax (314) 273-0149
Location 210600 Montgomery RdMontgomery, OH 45242-4463 · Phone (513) 246-7600

Other Identifiers 1

Medicaid030278801TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nizar Chafic Charafeddine 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 ID3870503188
PECOS Enrollment IDI20081020000235, I20210319002192, I20231212003023, I20260318001303
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

6

Medicare enrollment records show Nizar Charafeddine reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nizar Charafeddine, MD, PA
1.8 mi
Gastroenterology
8633 BROADWAY ST STE 103
Pearland, TX 77584
  • Reassigned Medicare billing, Texas enrollment
NPI 1306095690 (713) 436-8166
Vincentian Physician Services LLC
575 mi
Family Medicine
810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 263 clinicians in this Medicare group
NPI 1851698310 (205) 930-2346
Fairview Heights Medical Group Sc
686 mi
Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 507 clinicians in this Medicare group
NPI 1679503668 (314) 996-7644
Sjl Health Systems Inc
766 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996
Trihealth H LLC
905 mi
Obstetrics
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1811215742 (513) 862-3452
Uvpc Specialists Inc.
961 mi
Surgery
3130 N COUNTY ROAD 25-A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 154 clinicians in this Medicare group
NPI 1831115492 (937) 440-7454

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 11

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.
136 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
83 services81 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.
55 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services49 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
35 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77584 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
$131.03 typical visit price
range $57.16 – $172.89
Typical copayment $32.75 (range $14.29 – $43.22)
Most-billed visit code 99204
Established Patient
$100.84 typical visit price
range $18.45 – $141.27
Typical copayment $25.21 (range $4.61 – $35.31)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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 Nizar Charafeddine's NPI number?

The NPI number for Nizar Charafeddine is 1912090317. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Nizar Charafeddine located?

Nizar Charafeddine practices at 2813 Smith Ranch Road, Pearland, TX 77584. The listed phone number is (713) 436-8166.

What is Nizar Charafeddine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nizar Charafeddine enrolled in Medicare?

Yes. Nizar Charafeddine 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 Nizar Charafeddine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nizar Charafeddine reassigns Medicare benefits to 6 organizations: Nizar Charafeddine, MD, PA (Pearland, TX), Vincentian Physician Services LLC (Birmingham, AL), Fairview Heights Medical Group Sc (Saint Louis, MO), Sjl Health Systems Inc (Pana, IL), Trihealth H LLC (Cincinnati, OH) and 1 more organization, 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 Nizar Charafeddine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nizar Charafeddine accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Texas and 1 other insurer list Nizar Charafeddine 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 Nizar Charafeddine affiliated with any hospitals?

According to CMS data, Nizar Charafeddine is affiliated with Christian Hospital Northeast, Good Samaritan Hospital and Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Nizar Charafeddine was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.