Active NPI 1396954178 Individual Practitioner Female Practitioner

Dr. Kanwal Ejaz , MD

Internal Medicine • Ithaca, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kanwal Ejaz, MD is a certified Internal Medicine practicing in Ithaca, NY. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Ejaz delivers high-quality medical care to the local community at 905 HANSHAW RD STE C.

Dr. Ejaz is affiliated with Cayuga Medical Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

905 Hanshaw Rd Ste C

Ithaca, NY 148501549

Telephone 6072772170

Fax 6072772329

Associated Practice Facility / Clinic

🏢 Cayuga Medical Associates, Inc. Facility NPI 1942617915

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ithaca, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +10.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

58 Specialists

Practicing in Ithaca, NY (12979 Statewide)

Telehealth Adoption Rate

29.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ejaz (32 Years) 32 Yrs

Ithaca Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$283.00	$87.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$406.00	$124.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	121	98	$275.00	$86.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	60	$394.00	$123.37
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$92.00	$13.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$508.00	$151.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$340.00	$107.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$359.00	$124.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	123	$350.32	$123.96
99213 Established patient office or other outpatient visit, typically 15 minutes	143	108	$241.45	$88.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$332.00	$128.30
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$85.00	$13.37
83036 Hemoglobin A1C level	22	19	$47.00	$9.58
G0008 Administration of influenza virus vaccine	20	20	$84.00	$28.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$467.75	$163.94
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	12	12	$93.00	$70.25
81003 Automated urinalysis test	12	12	$12.00	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	130	$312.86	$127.52
99213 Established patient office or other outpatient visit, typically 15 minutes	115	89	$218.43	$87.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$316.00	$131.37
G0008 Administration of influenza virus vaccine	33	33	$80.00	$16.52
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	26	26	$89.00	$66.43
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$75.00	$14.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$473.53	$166.12
83036 Hemoglobin A1C level	18	17	$45.00	$9.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	11	$90.00	$13.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	205	139	$281.00	$106.07
99213 Established patient office or other outpatient visit, typically 15 minutes	137	94	$194.32	$73.16
85610 Blood test, clotting time	75	13	$31.00	$4.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$301.00	$114.73
G0008 Administration of influenza virus vaccine	37	36	$76.00	$16.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	16	$86.00	$13.97
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	28	$28.00	$18.18
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$71.00	$16.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$426.00	$154.70
99442 Telephone medical discussion with physician, 11-20 minutes	19	18	$120.00	$72.81
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	17	$144.00	$118.14
G0009 Administration of pneumococcal vaccine	18	17	$76.00	$16.20
99441 Telephone medical discussion with physician, 5-10 minutes	16	14	$65.00	$44.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$442.00	$168.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	162	$268.55	$104.07
99213 Established patient office or other outpatient visit, typically 15 minutes	240	164	$195.09	$71.07
85610 Blood test, clotting time	113	20	$30.00	$4.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$289.00	$111.45
93000 Routine ekg using at least 12 leads including interpretation and report	49	49	$68.00	$16.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	18	$83.00	$16.05
83036 Hemoglobin A1C level	41	27	$41.00	$10.57
G0008 Administration of influenza virus vaccine	36	36	$73.00	$15.94
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	34	11	$11.00	$1.80
90756 Vaccine for influenza for injection into muscle	31	31	$35.00	$26.13
G0009 Administration of pneumococcal vaccine	20	20	$73.00	$15.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$425.00	$164.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$410.00	$158.21
81002 Urinalysis, manual test	15	14	$22.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	68	$123.58	$63.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	56	$181.18	$94.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	70	$80.64	$69.84
99213 Established patient office or other outpatient visit, typically 15 minutes	82	54	$52.73	$45.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$85.07	$79.84

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 295692-1

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License CO DR.0053070

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 208850

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

05378529 (NY)

Hospital & Practice Group Affiliations

Cayuga Medical Associates Pc

1301 Trumansburg Rd R, Ithaca, NY 148501397

Phone: 6072727000

Secondary Practice Locations

1301 Trumansburg Rd Ste R

Ithaca, NY 148501397

Phone: 6072772170

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners

Dr. Humaira Hassan , MD

Internal Medicine

NPI 1023228996

Doctor of Medicine (M.D.)

Lauren Chmielewski

Physician Assistant

NPI 1063388221

Jane Olsefski , PA

Physician Assistant

NPI 1154439073

Physician Assistant

Jessica Carr , NP

Family Medicine

NPI 1164199428

Nurse Practitioner

Dr. Shital Oli , MD

Student in an Organized Health Care Education/Training Program

NPI 1194347351

Doctor of Medicine (M.D.)

Taylor White , LMSW

Social Worker

NPI 1386461069

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location October 01, 2019

Registered at 905 HANSHAW RD STE C, ITHACA, NY 148501549 (Tel: 6072772170)

📍

Updated Business Mailing Address October 01, 2019

Registered at 905 HANSHAW RD STE C, ITHACA, NY 148501549 (Tel: 6072772170)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2019

Internal Medicine (License #DR.0053070 in CO)

📍

Updated Practice Location July 24, 2018

Registered at 5495 ARAPAHOE AVE STE 100, BOULDER, CO 80303 (Tel: 3034154250)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Internal Medicine (License #208850 in MA)

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 1155 ALPINE AVE, SUITE 360, BOULDER, CO 803043495 (Tel: 3034428840)

📍

Updated Business Mailing Address November 09, 2017

Registered at 5450 WESTERN AVE, SUITE B, BOULDER, CO 803012709 (Tel: 3034154250)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as KANWAL EJAZ, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Internal Medicine (License #DR.0053070 in CO)

✅

NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2016

Registered at 1155 ALPINE AVE, SUITE 360, BOULDER, CO 803043495 (Tel: 3034428840)

📍

Updated Business Mailing Address February 02, 2016

Registered at 5450 WESTERN AVE, SUITE B, BOULDER, CO 803012709 (Tel: 3034154770)

👤

Provider Name / Credentials Updated February 02, 2016

Recorded as KANWAL EJAZ, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Internal Medicine (License #DR.0053070 in CO)

🟢

Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Kanwal Ejaz. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1396954178

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 21, 2007

Last Update: October 01, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

905 Hanshaw Rd Ste C

Ithaca, NY 148501549

Phone: 6072772170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.