DR. STEPHANIE EKIZIAN (M.D.) – Internal Medicine Physician, NPI 1083612659

DR. STEPHANIE EKIZIAN (M.D.) is a healthcare provider. based in Elkins park, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD060966L (PA). The NPI Number for DR. STEPHANIE EKIZIAN (M.D.) is 1083612659

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHANIE EKIZIAN (M.D.)
NPI
1083612659
Phone
(215) 885-8550
Address
8302 OLD YORK RD
Enumeration Date
8 July 2005
Last Update Date
28 April 2016

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
2159271937
Graduation Year
1994 (32 years ago)
PAC ID
5890734750
Group Practice PAC ID
7012818008
Professional Enrollment ID
I20050429000239
Address ID
PA191202470PH101XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

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Provider Addresses for DR. STEPHANIE EKIZIAN (M.D.)

  • Old York Road, Elkins Park, Elkins Park Gardens, Cheltenham, Cheltenham Township, Montgomery County, Pennsylvania, 19027, United States

    ELKINS PARK, PA 190271522

    Phone: (215) 885-8550

    Fax: (215) 885-8870

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $1,151.

Total Amount is formed as General ($1,151) + Research ($0) + Ownership ($0) = $1,151.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($231).

Total Amount

$1,151

General + Research + Ownership

Payments

57

Total payment records

General Amount

$1,151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050429000239IInternal MedicinePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes304145$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9393$0
99213Established patient office or other outpatient visit, 20-29 minutes6457$0
G0008Administration of influenza virus vaccine4140$0
90662Influenza vaccine split virus, preservative free3736$0
View full utilization report →

Insurance plans in this area (ZIP 19027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012818008View full group profile
NameSpecialtyState
Nurse PractitionerPA
Internal MedicinePA
-PA
Internal MedicinePA
Internal MedicinePA
-PA
Internal MedicinePA
Internal MedicinePA
Family PracticeNY
Internal MedicinePA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. STEPHANIE EKIZIAN (M.D.)'s NPI?
Yes. DR. STEPHANIE EKIZIAN (M.D.) is listed with NPI 1083612659 in the public NPI dataset.
Can I rely on DR. STEPHANIE EKIZIAN (M.D.) being an active provider?
As of the registry snapshot, DR. STEPHANIE EKIZIAN (M.D.) is marked active.
What is DR. STEPHANIE EKIZIAN (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. STEPHANIE EKIZIAN (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. STEPHANIE EKIZIAN (M.D.) on a map?
Expect Elkins Park, Pennsylvania as a primary anchor for DR. STEPHANIE EKIZIAN (M.D.) unless the record lists multiple sites.
Why does DR. STEPHANIE EKIZIAN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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