1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Internal Medicine
  6. NPI Profile

ABUTALEB A. EJAZ M.D.
NPI 1700827136
Internal Medicine - Nephrology in Baltimore, MD

Active since June 09, 2006PECOS Enrolled
100/100
CMS Quality Rating
22 S GREENE ST, BALTIMORE, MD 21201(410) 328-5720(410) 328-5685 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2023, May 28, 2020, May 20, 2020 (3 updates tracked since 2020).

About Abutaleb A. Ejaz M.d. NPPES

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

ABUTALEB A. EJAZ M.D. (NPI 1700827136) is an individual nephrology provider in Baltimore, Maryland, licensed in Maryland (D41682) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700827136
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameABUTALEB A. EJAZCredential: M.D.
Location Address22 S GREENE STBaltimore, MD 21201-1590
Mailing AddressPo Box 64442Baltimore, MD 21264-4442 · (410) 328-8040 · Fax (443) 462-3514
Phone(410) 328-5720
Fax(410) 328-5685
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateApril 12, 20233 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
✔ NPI 1700827136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in MD · D41682✔ Licensed in FL · ME67226✔ Licensed in VA · 0101264739
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License D41682 (MD)
22 S GREENE ST, Baltimore, MD 21201
Open in Google Maps ↗

Other Names 1

Professional Name (2)Abutaleb Ahsan Ejaz M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abutaleb A. Ejaz M.d. 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 Reassignments

2

Medicare enrollment records show Abutaleb Ejaz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southeastern Intensivist Services PC
799 mi
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group
NPI 1912942665 (870) 733-3020
Glutality Provider Group, P.A.
911 mi
Internal Medicine
5300 BROKEN SOUND BLVD NW STE 200
Boca Raton, FL 33487
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Glutality Provider Group PA
  • 42 clinicians in this Medicare group
NPI 1083256168 (561) 678-2026

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 21201 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

DR. LEONARD ANANG SOWAH M.D.
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 706-4619
VISHAL BHATNAGAR MD
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-6110
NANCE J FOX P.A.-C
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Baltimore City (410) 328-1170
HILARY TAMARA WOLF MD
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (410) 328-7373
MS. LINDSAY BREAM O'MEARA CRNP
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Baltimore City (410) 328-3365
NORA T OLIVER M.D., M.P.H.
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756
SHOSHANA JO WEINER
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Baltimore City (617) 214-1332
JENNA VANLIERE CANZONIERO M.D.
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Baltimore City (410) 328-5756

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 Abutaleb Ejaz's NPI number?

The NPI number for Abutaleb Ejaz is 1700827136. It was assigned to this individual provider in the NPPES registry on June 9, 2006. The provider is also known as Abutaleb Ahsan Ejaz M.D..

Where is Abutaleb Ejaz located?

Abutaleb Ejaz practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-5720.

What is Abutaleb Ejaz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Abutaleb Ejaz enrolled in Medicare?

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

Which organizations bill Medicare for Abutaleb Ejaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abutaleb Ejaz reassigns Medicare benefits to 2 organizations: Southeastern Intensivist Services PC (West Memphis, AR) and Glutality Provider Group, P.A. (Boca Raton, FL). 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 Abutaleb 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 Abutaleb Ejaz was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.