KANWAL EJAZ M.D
NPI 1396954178
Internal Medicine in Ithaca, NY

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
905 HANSHAW RD STE C, ITHACA, NY 14850(607) 277-2170(607) 277-2329 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2019, Jul 24, 2018, Nov 9, 2017 and 2 more (5 updates tracked since 2015).

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

NPI1396954178
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKANWAL EJAZCredential: M.D
Location Address905 HANSHAW RD STE CIthaca, NY 14850-1549
Mailing Address905 Hanshaw Rd Ste CIthaca, NY 14850-1549 · (607) 277-2170 · Fax (607) 277-3232
Fax(607) 277-2329
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 21, 2007
Last NPPES UpdateOctober 1, 20195 updates tracked since enumeration
NPI 1396954178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NY · 295692-1 Licensed in CO · DR.0053070 Licensed in MA · 208850
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

905 HANSHAW RD STE C, Ithaca, NY 14850

Secondary Practice Location 1

Location 11301 Trumansburg Rd Ste RIthaca, NY 14850-1397 · Phone (607) 277-2170 · Fax (607) 277-2329

Other Identifiers 1

Medicaid05378529NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7113026154
PECOS Enrollment IDI20180928001304
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services53 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 patients

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, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.69
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims18 services$5.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
905 HANSHAW RD STE C
ITHACA, NY 14850
Counselor (Professional)
905 HANSHAW RD STE C
ITHACA, NY 14850
Internal Medicine
905 HANSHAW RD STE C
ITHACA, NY 14850
Social Worker
905 HANSHAW RD STE C
ITHACA, NY 14850
Internal Medicine
905 HANSHAW RD STE C
ITHACA, NY 14850
Physician Assistant
905 HANSHAW RD STE C
ITHACA, NY 14850
Physician Assistant
905 HANSHAW RD STE C
ITHACA, NY 14850

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.

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 with the weekly NPPES data releases published by CMS.