Ali M Ghaffari Sr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

81202 Issued in NM

Practice address

815 West 14TH St
Clovis, NM 88101

Phone

(505) 762-6492

Fax

(505) 762-9981

NPI assigned

May 18, 2006

Last updated

Aug 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

General Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Excelacare Home Health Home health agency, Clovis, NM, CCN 327191
• Accent Care Health Home health agency, Clovis, NM, CCN 327210
• Plains Regional Medical Center Hospital, Clovis, NM, CCN 320022

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Blue and Red Bird Corp PC

  dba N/a

  • General Practice Physician
  • Clovis, NM
  • NPI 1548472830
  Medicare reassignment Authorized official
• Blue and Red Bird Corporation, PC.

  • Primary Care Clinic/Center
  • Clovis, NM
  • NPI 1124579958
  NPD Authorized official
• Physicians Associates

  • Health Service Clinic/Center
  • Clovis, NM
  • NPI 1356566640
  Authorized official Same address or phone

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

• Kindstar, Inc.

  dba AccentCare Health

  • Home Health Agency
  • Clovis, NM
  • NPI 1144551698
  Care Compare affiliation
• New Mexico Healthcare Services, LLC

  dba Excelacare Home Health

  • Home Health Agency
  • Clovis, NM
  • NPI 1134174063
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Plains Regional Medical Center

  • Rural Acute Care Hospital
  • Clovis, NM
  • NPI 1629053509
  Care Compare affiliation

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1881647352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W 14TH ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015514",
            "telephone_number": "505-762-6492",
            "fax_number": "505-762-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 WEST 14TH ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "505-762-6492",
            "fax_number": "505-762-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARI",
        "first_name": "ALI",
        "middle_name": "M",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "81202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S2511",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie A Gemma-Walden, L.P.T.A.
• Genesis Home Care LLC
• Bjorn Genty, CSW
• Jacob George, MD
• Ghaffari Medical Pharmacy (colonial heritage personal care)
• Jennifer M. Giannino, LPCC
• Agatha Gibbons
• Gary Gibbs
• Sherri Gibbs
• Gibson Family Pharmacy PC (Family Institutional Pharmacy Services)

• Family Medicine Physician in Clovis, NM
• Providers in Clovis, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.

Verify at the official NPI Registry.