Individual provider Active NPI

Asma Rahman Ghafoor, M.D., MPH

  • Pain Medicine Physician
  • Dayton, OH
National Provider Identifier
1811126493
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
036139095 Issued in IL
Practice address
1 Elizabeth PL # 20NW
Dayton, OH 45417-3445
Phone
(937) 280-4970
NPI assigned
Jul 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036139095 IL
Pain Medicine Physician 208VP0000X 036139095 IL Primary

Addresses

Primary practice location

1 Elizabeth PL # 20NW
Dayton, OH 45417-3445

Mailing address

150 Forest Ave Unit 1404
Oak Park, IL 60301-1457
Phone (630) 200-9116

Other practice location 1

350 E 52nd St Apt 3H
New York, NY 10022-6741
Phone (630) 200-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20151208001378 IL Practitioner - Pain ManagementPractitioner - Family PracticePractitioner - Nuclear Medicine 2860792231 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Spine Center of Chicago LLC CurrentSince Jun 1, 2022 Accepting new patients
American Current Care of Illinois PC CurrentSince Feb 18, 2025 Accepting new patients
Anesthesia and Pain Management LLC PastSince Jul 3, 2018 Accepting new patients

Locations

391 S Bolingbrook Dr
Bolingbrook, IL 60440
Phone (630) 226-1006

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

16604 107th St
Orland Park, IL 60467
Phone (708) 675-1620

Organizations & group practices 3

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": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1811126493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FOREST AVE UNIT 1404",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011457",
            "telephone_number": "630-200-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL # 20NW",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-280-4970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E 52nd St Apt 3H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100226741",
            "country_code": "US",
            "telephone_number": "630-200-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAFOOR",
        "first_name": "ASMA",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-05",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036139095",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036139095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.