Individual provider Active NPI

Sidrah Ghaffar, DO

  • Internal Medicine Physician
  • Elizabethtown, NC
National Provider Identifier
1528625548
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024-02737 Issued in NC
Practice address
501 S Poplar St
Elizabethtown, NC 28337-9375
Phone
(910) 862-5100
NPI assigned
May 24, 2019
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102207123 VA
Internal Medicine Physician 207R00000X 0116033072 VA
Internal Medicine Physician 207R00000X 89901 SC
Internal Medicine Physician 207R00000X 34.017481 OH
Internal Medicine Physician 207R00000X 2024-02737 NC Primary

Addresses

Primary practice location

501 S Poplar St
Elizabethtown, NC 28337-9375

Mailing address

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 323-1234

Other practice location 1

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 323-1234

Other practice location 2

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC, NC, PA, OH, IN, DC, WV, MD9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20220601000063 VA Practitioner - Internal MedicinePractitioner - Hospitalist 0143653857 Reassigns benefits to 3 organizations
I20240215000471 SC Practitioner - Internal Medicine 0143653857 Reassigns benefits to 2 organizations
I20250509000501 NC Practitioner - Hospitalist 0143653857 Reassigns benefits to 3 organizations
I20250602001666 PA Practitioner - Internal Medicine 0143653857 Reassigns benefits to 1 organization
I20250603002476 OH Practitioner - Internal Medicine 0143653857 Reassigns benefits to 1 organization
I20250620003120 IN Practitioner - Internal Medicine 0143653857 Reassigns benefits to 1 organization
I20250625002124 DC Practitioner - Internal Medicine 0143653857 Reassigns benefits to 1 organization
I20250626002647 WV Practitioner - Internal Medicine 0143653857 Reassigns benefits to 2 organizations
I20250707002539 MD Practitioner - Internal Medicine 0143653857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Telehealth PCGroup PAC ID 9638585391, 63 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

100 Pkwy Dr
Clarksburg, WV 26301-4357
Phone (304) 624-6401

105 Time SQ
Salisbury, MD 21801-2808
Phone (410) 749-2474

1209 Indiana Ave
Saint Marys, OH 45885-1310
Phone (419) 394-7611

1263 S George St
Charles Town, WV 25414-4384
Phone (304) 725-6575

1275 Southview Dr
Bluefield, WV 24701-4347
Phone (304) 325-5448

135 Reichart Ave
Wintersville, OH 43953-4050
Phone (740) 264-1155

155 Heritage Woods Dr
Copley, OH 44321-1398
Phone (330) 666-0980

183 Holbrook Rd
Buckhannon, WV 26201-0029
Phone (304) 472-3280

1924 Glenwood Park Rd
Princeton, WV 24739-7969
Phone (304) 425-8128

198 John Cook Nursing Home Rd
Hinton, WV 25951-5074
Phone (304) 466-0332

2025 Wyoming Ave
Cincinnati, OH 45205-1112
Phone (513) 251-2557

2200 Floral St
Moundsville, WV 26041-1293
Phone (304) 843-1035

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234

250 Flank Rd
Petersburg, VA 23805-9117
Phone (804) 861-2223

2615 Derr Rd
Springfield, OH 45503-2445
Phone (937) 390-0005

3015 17TH St NW
Canton, OH 44708-6004
Phone (330) 454-6508

411 Erbacon Rd
Cowen, WV 26206-8526
Phone (304) 226-5301

5226 E 82ND St
Allison Pointe Healthcare Center
Indianapolis, IN 46250-1628
Phone (317) 842-6668

640 Sandhill Rd
PT Pleasant, WV 25550-2163
Phone (304) 675-5236

6455 Pearl Rd
Parma Heights, OH 44130-2984
Phone (440) 888-5900

670 Jarvis Rd
Akron, OH 44319-2538
Phone (330) 645-0200

6700 Columbia Pike
Annandale, VA 22003-3450
Phone (703) 256-7000

6940 Stiegler LN
Cincinnati, OH 45243-2635
Phone (513) 561-6400

8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547

955 Garden Lake Pkwy
Toledo, OH 43614-2777
Phone (419) 382-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2024-02737NCMDInternal Medicine Physician
34.017481OHMDInternal Medicine Physician
89901SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Apr 30, 2025 Accepting new patients
Fletcher Hospital Inc. CurrentSince Jun 12, 2025 Accepting new patients
Post Acute Telehealth PC Internal Medicine CurrentSince Apr 12, 2025 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Jun 30, 2025 Accepting new patients
Danville Physician Practices LLC CurrentSince Jul 1, 2022 Accepting new patients
Fletcher Hospital Inc CurrentSince Jun 12, 2025 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Danville Physician Practices LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Bladen Healthcare, LLC CurrentSince Apr 30, 2025 Accepting new patients
Bladen Healthcare LLC CurrentSince Apr 30, 2025 Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Apr 30, 2025 Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Locations

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000

1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700

101 Hospital Dr
Columbus, NC 28722
Phone (828) 894-3311

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

1717 Skyline Dr
Pittsburgh, PA 15227
Phone (412) 881-6168

2 Office Park Ct
Columbia, SC 29223

6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000

125 Executive Dr
Ste H
Danville, VA 24541
Phone (434) 791-1345

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

250 Flank Rd
Petersburg, VA 23805
Phone (804) 861-2223

287 E South Blvd
Petersburg, VA 23805
Phone (804) 562-6618

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

462 Kenmore Dr
Danville, WV 25053
Phone (304) 369-0966

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: sghaffar135324@capefearvalley.direct-ci.com

Organizations & group practices 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1528625548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HERLONG AVE S",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "803-323-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S POPLAR ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379375",
            "telephone_number": "910-862-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Herlong Ave S",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321158",
            "country_code": "US",
            "telephone_number": "803-323-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAFFAR",
        "first_name": "SIDRAH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102207123",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116033072",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "89901",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.017481",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-02737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

Verify at the official NPI Registry.