Sadia Ghafoor, DO
NPI 1275722951 · Rheumatology Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sadia Ghafoor, DO is a Rheumatology Physician provider in Toms River, NJ (NPI 1275722951).
Provider details
- NPI number
- 1275722951
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 25MB08259000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
281 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 66 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 63 | $134 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 60 | $174 |
| Aspiration And/Or Injection of Fluid From Small Joint20600 | 55 | $49 |
| Injection Into Tendon Or Ligament20550 | 20 | $60 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 17 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Prednisone | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-18
- Last updated
- 2010-08-31
Frequently asked questions
- What is Sadia Ghafoor's NPI number?
- Sadia Ghafoor's National Provider Identifier (NPI) is 1275722951, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sadia Ghafoor's specialty?
- Sadia Ghafoor is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sadia Ghafoor located?
- Sadia Ghafoor's practice location on file with NPPES is 508 Lakehurst Rd, Toms River, NJ 08755-8000.
- What is Sadia Ghafoor's phone number?
- The practice phone number listed in the NPPES registry for Sadia Ghafoor is (732) 431-4335.
- Does Sadia Ghafoor accept Medicare?
- Sadia Ghafoor is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sadia Ghafoor's NPI active?
- Yes — Sadia Ghafoor's NPI (1275722951) is active in the NPPES registry as of the last update on 2010-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.