DR. KHAMA D ENNIS MD, MPH
NPI 1669453973
Emergency Medicine in Amherst, MA
About Dr. Khama D Ennis Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KHAMA D ENNIS MD, MPH (NPI 1669453973) is an individual emergency medicine provider in Amherst, Massachusetts, licensed in Massachusetts (223355) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Amherst.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Khama D Ennis Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Khama Ennis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Northampton, MA 01060
- Reassigned Medicare billing, Massachusetts enrollment
- 539 clinicians in this Medicare group
Edgartown, MA 02539
- Reassigned Medicare billing, Massachusetts enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01003 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.
AMHERST, MA 01003
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 Khama Ennis's NPI number?
The NPI number for Khama Ennis is 1669453973. It was assigned to this individual provider in the NPPES registry on November 14, 2005. The provider is also known as Dr. Khama D Ennis-Holcombe MD, Mph.
Where is Khama Ennis located?
Khama Ennis practices at 150 Infirmary Way, Amherst, MA 01003. The listed phone number is (413) 577-5152.
What is Khama Ennis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Khama Ennis enrolled in Medicare?
Yes. Khama Ennis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Khama Ennis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khama Ennis reassigns Medicare benefits to 2 organizations: Mass General Brigham Medical Group Western Massachusetts Inc (Northampton, MA) and Vineyard Complementary Medicine, Inc (Edgartown, MA). Each 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 Khama Ennis'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 Khama Ennis was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Khama D Ennis, MD, MPH · NPI 1669453973
Emergency Medicine physician in Amherst, Massachusetts. Individual provider, active in the CMS NPPES registry since November 14, 2005.
## Identity
- **NPI:** 1669453973 (Entity type: Individual)
- **Enumerated:** November 14, 2005
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 223355 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 INFIRMARY WAY, Amherst, MA 01003-9288
- **Phone:** (413) 577-5152
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Mass General Brigham Medical Group Western Massachusetts Inc (NPI 1295787919, Northampton, MA); Vineyard Complementary Medicine, Inc (NPI 1053490896, Edgartown, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669453973) · Data from the CMS NPPES public registry.