EZRA SAMUEL LICHTMAN MD
NPI 1720660285
Internal Medicine in Chinle, AZ

Active since April 24, 2021PECOS EnrolledAccepts Medicare Assignment
US HIGHWAY 191, CHINLE, AZ 86503(928) 674-7001 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2025, Apr 26, 2021, Apr 24, 2021 (3 updates tracked since 2021).

About Ezra Samuel Lichtman Md NPPES

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

EZRA SAMUEL LICHTMAN MD (NPI 1720660285) is an individual internal medicine provider in Chinle, Arizona, licensed in New Mexico (MD2025-0639) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Rehoboth Mckinley Christian Health Care Services, and is a graduate of Yale University School Of Medicine (2021).

NPPES Registry Identity

NPI1720660285
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEZRA SAMUEL LICHTMANCredential: MD
Location AddressUS HIGHWAY 191Chinle, AZ 86503
Mailing AddressPo Box PhChinle, AZ 86503-8000 · (928) 674-7001 · Fax (928) 674-7008
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2021
Enumeration DateApril 24, 2021
Last NPPES UpdateNovember 14, 20253 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1720660285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NM · MD2025-0639
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License MD2025-0639 (NM)
US HIGHWAY 191, Chinle, AZ 86503

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ezra Samuel Lichtman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315347085
PECOS Enrollment IDI20251218000359
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rehoboth Mckinley Christian Health Care Services

Critical Access Hospitals · Gallup, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321313
Location1901 Red Rock DriveGallup, NM 87301 · Mckinley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86503 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
US HIGHWAY 191, NAVAJO ROUTE 7
CHINLE, AZ 86503
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
US HIGHWAY 191
CHINLE, AZ 86503

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 Ezra Lichtman's NPI number?

The NPI number for Ezra Lichtman is 1720660285. It was assigned to this individual provider in the NPPES registry on April 24, 2021.

Where is Ezra Lichtman located?

Ezra Lichtman practices at Us Highway 191, Chinle, AZ 86503. The listed phone number is (928) 674-7001.

What is Ezra Lichtman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ezra Lichtman enrolled in Medicare?

Yes. Ezra Lichtman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ezra Lichtman affiliated with any hospitals?

According to CMS data, Ezra Lichtman is affiliated with Rehoboth Mckinley Christian Health Care Services.

When was this NPI record last updated?

The NPPES record for Ezra Lichtman was last updated on November 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.