Individual provider Active NPI

Cameron Ghaffary, M.D.

  • Surgery Physician
  • Galveston, TX
National Provider Identifier
1629498159
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
BP10050323 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-0534
Phone
(409) 772-1369
Fax
(409) 772-0557
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10050323 TX Primary

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-0534

Mailing address

301 University Blvd
Galveston, TX 77555-0534
Phone (409) 772-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190617001759 TX Practitioner - Urology 1557694957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Creighton University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corpus Christi Urology Group PLLCGroup PAC ID 0749239655, 12 clinicians

Practice addresses (Care Compare)

601 Texan TRL
Suite 100
Corpus Christi, TX 78411-2548
Phone (361) 561-4106

Hospital & facility affiliations

  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10050323TXMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: cameronghaffary@ccug.medalliesdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1629498159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550534",
            "telephone_number": "409-772-1369",
            "fax_number": "409-772-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550534",
            "telephone_number": "409-772-1369",
            "fax_number": "409-772-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARY",
        "first_name": "CAMERON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10050323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.