Ghulam Jafferi, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME0072934 Issued in FL

Practice address

651 E 25TH St
Emergency Department
Hialeah, FL 33013-3814

Phone

(305) 693-6100

Fax

(904) 346-0113

NPI assigned

Jan 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Emergency Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shi Keys LLCGroup PAC ID 2163835513, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mariners Hospital Hospital, Tavernier, FL, CCN 101313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shi Keys LLC

  • Emergency Medicine Physician
  • Tavernier, FL
  • NPI 1952903536
  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment NPD
• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560
  Medicare reassignment
• Carlton ER SVCS Partnership LLC

  • Emergency Medicine Physician
  • Wauchula, FL
  • NPI 1427007418
  NPD (past)
• Sterling Emergency Physicians of Hialeah PA

  • Emergency Medicine Physician
  • Hialeah, FL
  • NPI 1801881867
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Opp, AL
  • NPI 1356391353
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mariners Hospital, Inc

  dba Mariners Hospital

  • Critical Access Hospital
  • Tavernier, FL
  • NPI 1518941806
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1396724431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534221",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303534221",
            "telephone_number": "305-651-2270",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E 25TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133814",
            "telephone_number": "305-693-6100",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFERI",
        "first_name": "GHULAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0072934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50312",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271178800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anu Sherry Jacob, ARNP
• Yaidelys Jacomino Bermudez
• Ivonne Ileana Jacomino Lopez, FNP
• Jennifer Jacomino
• Jacquis Palace
• Jag Medical Center LLC
• Jaime a. Soteras MD PA
• Jaime E. Campos, M.D., P.a.
• Jaime Garcia, M.D., P.a.
• Osnell Jaime Moleiro

• Emergency Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.