Khuzema Ghafoor, MD - Medicare Internal Medicine in Macon, GA

Khuzema Ghafoor, MD is a medicare enrolled "Internal Medicine" physician in Macon, Georgia. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cogent Medical Care Pc and his current practice location is 777 Hemlock St, Macon, Georgia. You can reach out to his office (for appointments etc.) via phone at (478) 633-7550.

Khuzema Ghafoor is licensed to practice in Georgia (license number 77626) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174939060.

Contact Information

Khuzema Ghafoor, MD
777 Hemlock St,
Macon, GA 31201-2102
(478) 633-7550
(478) 633-3235

Map and Direction




Physician's Profile

Full NameKhuzema Ghafoor
GenderMale
SpecialityInternal Medicine
Experience16 Years
Location777 Hemlock St, Macon, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Khuzema Ghafoor graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1174939060
  • Provider Enumeration Date: 07/11/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5092002105
  • Enrollment ID: I20220630000943

Medical Identifiers

Medical identifiers for Khuzema Ghafoor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174939060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301105676 (Michigan)Secondary
207R00000XInternal Medicine 77626 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lourdes HospitalBinghamton, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cogent Medical Care Pc7315836780170

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. Khuzema Ghafoor allows following entities to bill medicare on his behalf.
Entity NameCogent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941238
PECOS PAC ID: 7315836780
Enrollment ID: O20040312001215
Entity NameHospitalist Medicine Physicians Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205944329
PECOS PAC ID: 5597767129
Enrollment ID: O20070209000383

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. Khuzema Ghafoor 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
Khuzema Ghafoor, MD
1345 Hardeman Ave Apt 427,
Macon, GA 31201-1439

Ph: (901) 428-4027
Khuzema Ghafoor, MD
777 Hemlock St,
Macon, GA 31201-2102

Ph: (478) 633-7550

Reviews and Comments


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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.