SUMBUL EJAZ MD
NPI 1639874654
Internal Medicine in Tupelo, MS
About Sumbul Ejaz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMBUL EJAZ MD (NPI 1639874654) is an individual internal medicine provider in Tupelo, Mississippi, licensed in Mississippi (37429) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sumbul Ejaz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sumbul Ejaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 581 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TUPELO, MS 38801
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 Sumbul Ejaz's NPI number?
The NPI number for Sumbul Ejaz is 1639874654. It was assigned to this individual provider in the NPPES registry on March 31, 2023.
Where is Sumbul Ejaz located?
Sumbul Ejaz practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-2539.
What is Sumbul Ejaz's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sumbul Ejaz enrolled in Medicare?
Yes. Sumbul Ejaz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sumbul Ejaz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumbul Ejaz reassigns Medicare benefits to North Mississippi Medical Center (Tupelo, MS). 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 Sumbul Ejaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sumbul Ejaz was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Sumbul Ejaz, MD · NPI 1639874654
Internal Medicine physician in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1639874654 (Entity type: Individual)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 37429 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 S GLOSTER ST, Tupelo, MS 38801-4996
- **Phone:** (662) 377-2539 · **Fax:** (662) 377-2920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Mississippi Medical Center (NPI 1336328715, Tupelo, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639874654) · Data from the CMS NPPES public registry.