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DR. NASRULLAH GHAFOOR MD
NPI 1972585081
Hospitalist in Jacksonville, FL

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4466 SWILCAN BRIDGE LN N, JACKSONVILLE, FL 32224(904) 281-0944(904) 281-9806 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nasrullah Ghafoor Md NPPES

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

DR. NASRULLAH GHAFOOR MD (NPI 1972585081) is an individual hospitalist provider in Jacksonville, Florida, licensed in Florida (ME68887) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1972585081
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. NASRULLAH GHAFOORCredential: MD
Location Address4466 SWILCAN BRIDGE LN NJacksonville, FL 32224-5617
Mailing Address4466 Swilcan Bridge Ln NJacksonville, FL 32224-5617 · (904) 281-0944 · Fax (904) 281-9806
Phone(904) 281-0944
Fax(904) 281-9806
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 15, 2005
Last NPPES UpdateAugust 12, 2014
✔ NPI 1972585081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME68887
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
4466 SWILCAN BRIDGE LN N, Jacksonville, FL 32224
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Other Identifiers 3

Medicare UPINF99072FL
Medicare ID-Type Unspecified28349AFL
Medicaid253275100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nasrullah Ghafoor 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 ID5698742641
PECOS Enrollment IDI20040916000564
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.

Areas of Expertise CMS Part B claims 4

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 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.
1,267 services282 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.
712 services601 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.
662 services567 patients
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.
201 services121 patients

Hospital Affiliations CMS Care Compare 4

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110146
Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.32 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers19 claims19 services$15.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers31 claims31 services$67.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

HOSPITAL SPECIALISTS
General Acute Care Hospital
4466 SWILCAN BRIDGE LN N
JACKSONVILLE, FL 32224
Duval County (904) 962-2694
DR. ATEEQUE R. KHAN M.D.
Internal Medicine
4466 SWILCAN BRIDGE LN N
JACKSONVILLE, FL 32224
Duval County (904) 599-3225
JEANNA RANGBARAN ARNP
Nurse Practitioner (Family)
4466 SWILCAN BRIDGE LN N
JACKSONVILLE, FL 32224
Duval County (904) 281-0944

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 Nasrullah Ghafoor's NPI number?

The NPI number for Nasrullah Ghafoor is 1972585081. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Nasrullah Ghafoor located?

Nasrullah Ghafoor practices at 4466 Swilcan Bridge Ln N, Jacksonville, FL 32224. The listed phone number is (904) 281-0944.

What is Nasrullah Ghafoor's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nasrullah Ghafoor enrolled in Medicare?

Yes. Nasrullah 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.

What insurance does Nasrullah Ghafoor accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Nasrullah 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.

Is Nasrullah Ghafoor affiliated with any hospitals?

According to CMS data, Nasrullah Ghafoor is affiliated with Shands Jacksonville, Baptist Health Medical Center - Jacksonville, Baptist Medical Center - Nassau and Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Nasrullah Ghafoor was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.