ABUTALEB A. EJAZ (M.D.) – Nephrology Physician, NPI 1700827136

ABUTALEB A. EJAZ (M.D.) is a healthcare provider. based in Farmville, Virginia. specializing in Nephrology Physician. They hold the professional credentials M.D.. They hold a License No. D41682 (MD). The NPI Number for ABUTALEB A. EJAZ (M.D.) is 1700827136

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
ABUTALEB A. EJAZ (M.D.)
NPI
1700827136
Phone
(434) 315-5360
Address
935 S MAIN ST
Enumeration Date
9 June 2006
Last Update Date
12 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4343155340
Graduation Year
1987 (39 years ago)
PAC ID
2163415092
Group Practice PAC ID
4789606088
Professional Enrollment ID
I20180914002423
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for ABUTALEB A. EJAZ (M.D.)

  • 935, South Main Street, Main Street Plaza, Farmville, Prince Edward County, Virginia, 23901, United States

    FARMVILLE, VA 239012211

    Phone: (434) 315-5360

    Fax: (434) 315-5898

    Type: Mailing

  • PO BOX 64442

    BALTIMORE, MD 212644442

    Phone: (410) 328-8040

    Fax: (443) 462-3514

    Type: Mailing

  • 22 S GREENE ST

    BALTIMORE, MD 212011590

    Phone: (410) 328-5720

    Fax: (410) 328-5685

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Horizon Therapeutics plc ($132).

Total Amount

$132

General + Research + Ownership

Payments

1

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Horizon Therapeutics plc$132
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: 2018-09-14

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
I20180914002423INephrologyVATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3020$0
View full utilization report →

Insurance plans in this area (ZIP 23901)

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Provider's Procedures

ABUTALEB A. EJAZ (M.D.) performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYFL90935Hemodialysis procedure with one physician evaluation397167

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: 4789606088View full group profile
NameSpecialtyState
-VA
N E U R O L O G YMD
Internal MedicineVA
-VA
N E U R O S U R G E R YVA
Hospitalist, Family PracticeVA
Diagnostic RadiologyOH
Cardiac ElectrophysiologyVA
-SC
-VA

Reviews

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Frequently asked questions

Where can patients find ABUTALEB A. EJAZ (M.D.)'s NPI?
You can confirm ABUTALEB A. EJAZ (M.D.) with NPI 1700827136; it appears in the national provider directory.
Is ABUTALEB A. EJAZ (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ABUTALEB A. EJAZ (M.D.)?
The page reflects Nephrology Physician for ABUTALEB A. EJAZ (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place ABUTALEB A. EJAZ (M.D.)?
The snapshot lists Farmville, Virginia for ABUTALEB A. EJAZ (M.D.); download NPPES for the complete set.
What if Farmville, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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