Active NPI
Kashaf Sherafgan, MD
- Surgery Physician
- Del Mar, CA
National Provider Identifier
1730359779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C170267
- Practice address
- 12845 Pointe del Mar Way Ste 100
Del Mar, CA 92014-3862 - Phone
- (520) 622-7384
- Fax
- (522) 622-4899
- NPI assigned
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 273654 | NY | |
| Surgery Physician | 208600000X | 51262 | AZ | |
| Surgery Physician | 208600000X | C170267 | CA | Primary |
Addresses
Primary practice location
12845 Pointe del Mar Way Ste 100
Del Mar, CA 92014-3862
Mailing address
1712 W Anklam Rd Ste 103
Tucson, AZ 85745-2660
Phone (520) 622-7384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.83 of 100
- Quality
- 78.06
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51262 | AZ | MD | Surgery Physician |
| C170267 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Valley ENT, PC | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Crescent Surgical Group, L.L.C. | Surgery | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Surgery Physician
- Gretna, LA
- NPI 1447301627
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1730359779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 W ANKLAM RD STE 103",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857452660",
"telephone_number": "520-622-7384",
"fax_number": "522-622-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12845 POINTE DEL MAR WAY STE 100",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920143862",
"telephone_number": "520-622-7384",
"fax_number": "522-622-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERAFGAN",
"first_name": "KASHAF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "273654",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "51262",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C170267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.