Individual provider Active NPI

Amir Gafur, D.O

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1609006121
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT013045 Issued in PA
Practice address
Red Lion and Knights Road
Philadelphia, PA 19114
Phone
(215) 612-4000
NPI assigned
Jul 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT013045 PA Primary

Addresses

Primary practice location

Red Lion and Knights Road
Philadelphia, PA 19114

Mailing address

1300 Pine St Apt 2R
Philadelphia, PA 19107-5847
Phone (512) 689-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20161116000729 HI Practitioner - Emergency Medicine 3971746561 Reassigns benefits to 1 organization
I20250416001239 OR Practitioner - Emergency Medicine 3971746561 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT013045PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Jun 1, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2025 Accepting new patients
Providence Health & Services Oregon Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2025 Accepting new patients
Providence Health & Services Oregon Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Feb 11, 2019 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients
Cristian E. Sciutto, MD PLC Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1609006121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PINE ST APT 2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075847",
            "telephone_number": "512-689-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RED LION AND KNIGHTS ROAD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19114",
            "telephone_number": "215-612-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFUR",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT013045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.