Active NPI
Nasrullah Ghafoor, MD
- Hospitalist Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME68887
- Practice address
- 4466 Swilcan Bridge LN N
Jacksonville, FL 32224-5617 - Phone
- (904) 281-0944
- Fax
- (904) 281-9806
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME68887 | FL | Primary |
Addresses
Primary practice location
4466 Swilcan Bridge LN N
Jacksonville, FL 32224-5617
Mailing address
4466 Swilcan Bridge LN N
Jacksonville, FL 32224-5617
Phone (904) 281-0944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253275100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 Compare- Specialty
- Hospitalist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 281-0944
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Shands Jacksonville
- Baptist Medical Center - Nassau
- Southeast Georgia Health System -- Camden Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME68887 | FL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Specialists | Current | Accepting new patients | |
| Hospital Specialists Inc | Current | Accepting new patients | |
| Southern Medical Clinic PA | Past | Accepting new patients |
Locations
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
9838 Old Baymeadows Rd
Jacksonville, FL 32256
Phone (904) 472-0537
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144265257
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1194968396
-
- Family Medicine Physician
- Macclenny, FL
- NPI 1437214541
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center Nassau
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba Southeast Georgia Health System - Camden Campus
- General Acute Care Hospital
- Saint Marys, GA
- NPI 1194744326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1972585081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4466 SWILCAN BRIDGE LN N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245617",
"telephone_number": "904-281-0944",
"fax_number": "904-281-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4466 SWILCAN BRIDGE LN N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322245617",
"telephone_number": "904-281-0944",
"fax_number": "904-281-9806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAFOOR",
"first_name": "NASRULLAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME68887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253275100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.