Individual provider

Usman Zulfiqar, M.D.

Hospitalist Physician Internal Medicine Physician Medicare enrolled

Usman Zulfiqar, M.D. is a Hospitalist Physician in Ephrata, PA, registered under NPI 1013240258. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 169 MARTIN AVE, Ephrata, PA 17522. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

169 MARTIN AVE, Ephrata, PA 17522 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD459726 PA Hospitalist Physician primary
MT192093 PA Internal Medicine Physician
MD459726 PA Internal Medicine Physician

This provider holds licence MD459726 issued in PA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Hospitalist
PAC ID
4789843418

Medicare enrolment is recorded as approved under the provider type Practitioner - Hospitalist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Hospitalist covers

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. NUCC Health Care Provider Taxonomy, code 208M00000X
Allopathic & Osteopathic Physicians Hospitalist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208M00000X Hospitalist Physician MD459726 PA primary
207R00000X Internal Medicine Physician MT192093 PA
207R00000X Internal Medicine Physician MD459726 PA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1013240258 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 4, 2009
Last updatedSep 4, 2024
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 169 MARTIN AVE
Ephrata, PA 17522
(717) 721-4740
Mailing address 3 COLONIAL DR
West Chester, PA 19382
This record was updated on Sep 4, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1013240258 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 1 3 2 4 0 2 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 2 3 4 4 0 2 1

Sum = 42 · next multiple of 10 = 50 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1013240258?
NPI 1013240258 is the National Provider Identifier assigned to Usman Zulfiqar, M.D. in Ephrata, PA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Hospitalist Physician cover?
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for…
How do I contact Usman Zulfiqar, M.D.?
The phone number on file with NPPES is (717) 721-4740, last updated Sep 4, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Usman Zulfiqar, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1013240258 a valid number?
Yes. 1013240258 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.