KANWAL EJAZ M.D
NPI 1396954178
Internal Medicine in Ithaca, NY
About Kanwal Ejaz M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANWAL EJAZ M.D (NPI 1396954178) is an individual internal medicine provider in Ithaca, New York, licensed in New York (295692-1) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and maintains a secondary practice location in Ithaca.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kanwal Ejaz M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kanwal Ejaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ithaca, NY 14850
- Reassigned Medicare billing, New York enrollment
- 328 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cayuga Medical Center At Ithaca
Acute Care Hospitals · Ithaca, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kanwal Ejaz's NPI number?
The NPI number for Kanwal Ejaz is 1396954178. It was assigned to this individual provider in the NPPES registry on May 21, 2007.
Where is Kanwal Ejaz located?
Kanwal Ejaz practices at 905 Hanshaw Rd Ste C, Ithaca, NY 14850. The listed phone number is (607) 277-2170.
What is Kanwal Ejaz's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kanwal Ejaz enrolled in Medicare?
Yes. Kanwal Ejaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kanwal Ejaz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kanwal Ejaz reassigns Medicare benefits to Cayuga Medical Associates, PC (Ithaca, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kanwal Ejaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kanwal Ejaz affiliated with any hospitals?
According to CMS data, Kanwal Ejaz is affiliated with Cayuga Medical Center At Ithaca.
When was this NPI record last updated?
The NPPES record for Kanwal Ejaz was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kanwal Ejaz, M.D · NPI 1396954178
Internal Medicine physician in Ithaca, New York. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1396954178 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 295692-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 905 HANSHAW RD STE C, Ithaca, NY 14850-1549
- **Phone:** (607) 277-2170 · **Fax:** (607) 277-2329
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cayuga Medical Associates, PC (NPI 1679525455, Ithaca, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** October 1, 2019
- **Other identifiers:** Medicaid 05378529 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1396954178) · Data from the CMS NPPES public registry.