NPIMap

Individual provider Active NPI

Ejaz Khalid

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1205099553
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237718 Issued in MA
Practice address
759 Chest Nut Street
Department of Internal Medicine Attn Linda Baillargeon
Springfield, MA 01199
Phone
(413) 794-4373
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 237718 MA Primary
Hospitalist Physician 208M00000X 10385750-1205 UT

Addresses

Primary practice location

759 Chest Nut Street
Department of Internal Medicine Attn Linda Baillargeon
Springfield, MA 01199

Mailing address

75 Hockanum Blvd
Unit 3512
Vernon, CT 06066
Phone (312) 307-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150413000209 NC Practitioner - Internal Medicine 1355526500 Reassigns benefits to 2 organizations
I20190604002558 CA Practitioner - Hospitalist 1355526500 Reassigns benefits to 5 organizations
I20220429000968 WV Practitioner - Hospitalist 1355526500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group North CarolinaGroup PAC ID 7719162254, 78 clinicians

Practice addresses (Care Compare)

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-7823

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237718MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC CurrentSince Mar 15, 2015 Accepting new patients
Apogee Medical Group North Carolina Hospitalist CurrentSince Feb 1, 2026 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 21, 2022 Accepting new patients
FHPG, LLC CurrentSince Mar 15, 2015 Accepting new patients
FHPG, LLC Current Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 21, 2022 Accepting new patients
Beaver Medical Group P C Internal Medicine CurrentSince Jul 21, 2021 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince May 15, 2020 Accepting new patients
Beaver Medical Group P C CurrentSince Jul 21, 2021 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Aug 16, 2020 Accepting new patients
Fountain Valley Group Services PC Hospitalist CurrentSince Apr 15, 2019 Accepting new patients
Fountain Valley Group Services PC Past Accepting new patients
Rex Hospital Inc Past Accepting new patients
Cogent Healthcare of Montana P C Internal Medicine Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1205099553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOCKANUM BLVD",
            "address_2": "UNIT 3512",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066",
            "telephone_number": "312-307-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHEST NUT STREET",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE ATTN LINDA BAILLARGEON",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01199",
            "telephone_number": "413-794-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "EJAZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "237718",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "10385750-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.