ANAM JAFFAR (PA) – Physician Assistant, NPI 1255986428

ANAM JAFFAR (PA) is a healthcare provider. based in Kissimmee, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 9112115 (FL). The NPI Number for ANAM JAFFAR (PA) is 1255986428

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ANAM JAFFAR (PA)
NPI
1255986428
Phone
(800) 827-7546
Address
1118 CYPRESS GLEN CIR
Enumeration Date
5 August 2019
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075383855
Graduation Year
2019 (7 years ago)
PAC ID
3870825243
Group Practice PAC ID
3779866579
Professional Enrollment ID
I20191105000394
Address ID
FL328288984OR422XXTRLX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for ANAM JAFFAR (PA)

  • 1118 CYPRESS GLEN CIR

    KISSIMMEE, FL 347417559

    Phone: (800) 827-7546

    Type: Location

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328690609

    Phone: (407) 846-7546

    Type: Mailing

  • 731 Stirling Center Pl Unit 1931

    Lake Mary, FL 327465209

    Phone: (407) 436-7375

    Type: Location

  • 4970 S US Highway 17/92

    Casselberry, FL 327073888

    Phone: (407) 635-8012

    Type: Location

  • 7560 Red Bug Lake Rd Ste 1014

    Oviedo, FL 327656591

    Phone: (407) 706-1770

    Type: Location

  • 7560 RED BUG LAKE RD STE 1014

    OVIEDO, FL 327656591

    Phone: (407) 706-1770

    Type: Mailing

  • 422 S ALAFAYA TRL STE 26

    ORLANDO, FL 328288984

    Phone: (407) 538-3855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,290.

Total Amount is formed as General ($1,290) + Research ($0) + Ownership ($0) = $1,290.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($265).

Total Amount

$1,290

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,290

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191105000394IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths16439$0
99213Established patient office or other outpatient visit, 20-29 minutes7568$0
11102Biopsy of related skin growth, first growth5955$0
17000Destruction of precancer skin growth, 1 growth5553$0
99212Established patient office or other outpatient visit, 10-19 minutes3733$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779866579View full group profile
NameSpecialtyState
D E R M A T O L O G YWI
O T O L A R Y N G O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
D E R M A T O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANAM JAFFAR (PA)?
ANAM JAFFAR (PA) — NPI 1255986428 — is the standard way to identify this listing.
Does the file indicate ANAM JAFFAR (PA) is practicing under active NPI?
Directory data currently reports ANAM JAFFAR (PA) as active.
What healthcare role does ANAM JAFFAR (PA) hold?
Scheduling teams often label ANAM JAFFAR (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does ANAM JAFFAR (PA) serve?
ANAM JAFFAR (PA)'s listing highlights Kissimmee, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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