Dr Abdul Ghaffar Durrani, MD - Medicare Hospitalist in Kenosha, WI

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Dr Abdul Ghaffar Durrani, MD is a medicare enrolled "Hospitalist" physician in Kenosha, Wisconsin. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Kenosha Community Health Center, Inc., Vituity-wisconsin Hm Sc and his current practice location is 4824 Green Bay Road, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 658-3994.

Dr Abdul Ghaffar Durrani is licensed to practice in Wisconsin (license number 34697-20) 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 1306833686.

Contact Information

Dr Abdul Ghaffar Durrani, MD
4824 Green Bay Road,
Kenosha, WI 53144-1789
(262) 658-3994
(262) 658-0300

Map and Direction




Physician's Profile

Full NameDr Abdul Ghaffar Durrani
GenderMale
SpecialityHospitalist
Experience38 Years
Location4824 Green Bay Road, Kenosha, Wisconsin
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:
  • Dr Abdul Ghaffar Durrani graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1306833686
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 08/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860384807
  • Enrollment ID: I20040821000100

Medical Identifiers

Medical identifiers for Dr Abdul Ghaffar Durrani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306833686NPI-NPPES
32086900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34697-020 (Wisconsin)Secondary
207Q00000XFamily Medicine 34697 (Wisconsin)Secondary
208M00000XHospitalist 34697-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kenosha VnaKenosha, WIHome health agency
Hospice AlliancePleasant prairie, WIHospice
United Hospital SystemKenosha, WIHospital
Clairidge HouseKenosha, WINursing home

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 Abdul Ghaffar Durrani allows following entities to bill medicare on his behalf.
Entity NameKenosha Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265435960
PECOS PAC ID: 0941195168
Enrollment ID: O20040217000840
Entity NameAbdul G Durrani Md Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548467863
PECOS PAC ID: 7113991613
Enrollment ID: O20040820000989
Entity NameVituity-wisconsin Hm Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679265912
PECOS PAC ID: 4880056126
Enrollment ID: O20230817002412

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 Abdul Ghaffar Durrani 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 Abdul Ghaffar Durrani, MD
4824 Green Bay Road,
Kenosha, WI 53144-1789

Ph: (262) 658-3994		Dr Abdul Ghaffar Durrani, MD
4824 Green Bay Road,
Kenosha, WI 53144-1789

Ph: (262) 658-3994

Reviews and Comments


Hospitalist Doctors in Kenosha, WI

Jayanti Reddy, MD
Hospitalist
Medicare: Not Enrolled in Medicare
Practice Location: 6308 8th Ave, Kenosha, WI 53143
Phone: 414-266-6229    Fax: 414-266-7638
Dr. Hetalben Patel, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 10400 75th St, Kenosha, WI 53142
Phone: 262-948-5600    
Dr. Paul Oluwatoyin Odusanya, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 6308 8th Ave, Hospitalist Management Group , United Hospitals, Kenosha, WI 53143
Phone: 201-238-5395    

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.