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DR. FAHEEM EJAZ D.O
NPI 1679869192
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Royal Oak, MI

Active since June 22, 2011PECOS Enrolled
819 IRVING AVE, ROYAL OAK, MI 48067(716) 462-3946 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Faheem Ejaz D.o NPPES

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

DR. FAHEEM EJAZ D.O (NPI 1679869192) is an individual otolaryngology/facial plastic surgery provider in Royal Oak, Michigan, licensed in Michigan (5101019529) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679869192
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. FAHEEM EJAZCredential: D.O
Location Address819 IRVING AVERoyal Oak, MI 48067-3308
Mailing Address819 Irving AveRoyal Oak, MI 48067-3308
Phone(716) 462-3946
Sole ProprietorNo
Enumeration DateJune 22, 2011
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1679869192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MI · 5101019529
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
819 IRVING AVE, Royal Oak, MI 48067
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Faheem Ejaz D.o 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.

Medicare Billing Reassignment

Medicare enrollment records show Faheem Ejaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
997 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Faheem Ejaz's NPI number?

The NPI number for Faheem Ejaz is 1679869192. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Faheem Ejaz located?

Faheem Ejaz practices at 819 Irving Ave, Royal Oak, MI 48067. The listed phone number is (716) 462-3946.

What is Faheem Ejaz's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Faheem Ejaz enrolled in Medicare?

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

Which organization bills Medicare for Faheem Ejaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faheem Ejaz reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Faheem Ejaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Faheem Ejaz accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Faheem Ejaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faheem Ejaz was last updated on June 26, 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.