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EJAZ AHMED M.D., PH.D.
NPI 1629209044
Internal Medicine in San Diego, CA

Active since August 03, 2009PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(213) 608-2346 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ejaz Ahmed M.d., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EJAZ AHMED M.D., PH.D. (NPI 1629209044) is an individual internal medicine provider in San Diego, California, licensed in California (A105775) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1629209044
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEJAZ AHMEDCredential: M.D., PH.D.
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address12712 Salmon River RdSan Diego, CA 92129-3553 · (213) 608-2346
Phone(213) 608-2346
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 3, 2009
Last NPPES UpdateDecember 3, 2021
✔ NPI 1629209044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A105775
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.
4647 ZION AVE, San Diego, CA 92120
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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

Ejaz Ahmed M.d., Ph.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 ID6103965199
PECOS Enrollment IDI20091204000176
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN MARIE PENA MD
Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DR. SHWETA WARNER M.D.
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 221-6258
DR. MATTHEW JAMES ROOSEVELT M.D.
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
San Diego County (619) 952-5091
RICHARD FUNG
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (626) 278-2749
ARDIS L TASCHNER CRNA
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
JEANNE HAGER DONAHUE LCSW
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5323
DAVID M. LEVINE MD
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DALE K. LIEU MD
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000

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 Ejaz Ahmed's NPI number?

The NPI number for Ejaz Ahmed is 1629209044. It was assigned to this individual provider in the NPPES registry on August 3, 2009.

Where is Ejaz Ahmed located?

Ejaz Ahmed practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (213) 608-2346.

What is Ejaz Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ejaz Ahmed enrolled in Medicare?

Yes. Ejaz Ahmed 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.

When was this NPI record last updated?

The NPPES record for Ejaz Ahmed was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.