Dr Samia Abdul Ghaffar, MD - Medicare Orthopedic Surgery in Fresno, CA

Dr Samia Abdul Ghaffar, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Fresno, California. She went to University Of California, Irvine, California College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Community Foundation Medical Group, Neurosurgical Associates Medical Group Inc and her current practice location is 45 E River Park Pl W Ste 104, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 320-0530.

Dr Samia Abdul Ghaffar is licensed to practice in California (license number A122660) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093004988.

Contact Information

Dr Samia Abdul Ghaffar, MD
45 E River Park Pl W Ste 104,
Fresno, CA 93720-1565
(559) 320-0530
(559) 320-0532

Map and Direction




Physician's Profile

Full NameDr Samia Abdul Ghaffar
GenderFemale
SpecialityOrthopedic Surgery
Experience13 Years
Location45 E River Park Pl W Ste 104, Fresno, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samia Abdul Ghaffar attended and graduated from University Of California, Irvine, California College Of Medicine in 2011
  NPI Data:
  • NPI Number: 1093004988
  • Provider Enumeration Date: 03/31/2011
  • Last Update Date: 11/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204126386
  • Enrollment ID: I20171023002892

Medical Identifiers

Medical identifiers for Dr Samia Abdul Ghaffar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093004988NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine A122660 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Regional Medical CenterFresno, CAHospital
Clovis Community Medical CenterClovis, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Foundation Medical Group0345406294263
Neurosurgical Associates Medical Group Inc90321663196

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Samia Abdul Ghaffar allows following entities to bill medicare on her behalf.
Entity NameNeurosurgical Associates Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083725220
PECOS PAC ID: 9032166319
Enrollment ID: O20050407001325
Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samia Abdul Ghaffar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samia Abdul Ghaffar, MD
2625 E Divisadero St,
Fresno, CA 93721-1431

Ph: (559) 453-5200
Dr Samia Abdul Ghaffar, MD
45 E River Park Pl W Ste 104,
Fresno, CA 93720-1565

Ph: (559) 320-0530

Reviews and Comments


Orthopaedic Surgery Doctors in Fresno, CA

Eric Hanson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Dr. Robert Michele Mochizuki, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7255 N Cedar Ave, Suite 102, Fresno, CA 93720
Phone: 559-433-3374    Fax: 559-432-3378
Paramjeet Gill, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Jerome R Dunklin, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
William Timothy Brox, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4500    
Edward A Lembert, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7235 N 1st St, Suite 103, Fresno, CA 93720
Phone: 559-432-2600    Fax: 559-432-8518

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.