SUMBUL EJAZ
NPI 1639874654
Student in an Organized Health Care Education/Training Program in Tupelo, MS

Active since March 31, 2023PECOS Enrolled
830 S GLOSTER ST, TUPELO, MS 38801(662) 377-3000 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sumbul Ejaz NPPES

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

SUMBUL EJAZ (NPI 1639874654) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639874654
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUMBUL EJAZ
Location Address830 S GLOSTER STTupelo, MS 38801-4996
Mailing Address830 S Gloster StTupelo, MS 38801-4996 · (662) 377-3000
Sole ProprietorNo
Enumeration DateMarch 31, 2023
NPPES CertifiedMarch 31, 2023
NPI 1639874654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

830 S GLOSTER ST, Tupelo, MS 38801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sumbul Ejaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Nurse Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Emergency Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Internal Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner
830 S GLOSTER ST
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) 377-3000.

What is Sumbul Ejaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sumbul Ejaz enrolled in Medicare?

Yes. Sumbul Ejaz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sumbul Ejaz was last updated on March 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.