Kemisola Omoseye Ajuwon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P8830 Issued in TX

Practice address

5808 Airline Dr
Houston, TX 77076-4923

Phone

(713) 695-4013

Fax

(713) 674-5100

NPI assigned

Jul 13, 2010

Last updated

May 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• TCH Pediatric Associates, Inc

  dba Fm1960 - Lakewood

  • Pediatrics Physician
  • Cypress, TX
  • NPI 1184724353
  NPD (past)
• TCH Pediatric Associates, Inc

  dba Texas Children's Pediatric Associates

  • Pediatrics Physician
  • Houston, TX
  • NPI 1225038326
  NPD (past)

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1023320512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HAHLO ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770203022",
            "telephone_number": "713-674-3326",
            "fax_number": "713-674-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764923",
            "telephone_number": "713-695-4013",
            "fax_number": "713-674-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJUWON",
        "first_name": "KEMISOLA",
        "middle_name": "OMOSEYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P8830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "P8830",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koajuwon@texaschildrens.org",
            "affiliation": "N",
            "address_1": "13215 Grant Rd Ste 100",
            "city": "Cypress",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774290002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Veronica Ajose
• Ajt Diabetic Incorporated (Countrywide Medical)
• Helen Ajuaba
• Okpo Ekea Ajughu, ARRT
• Eberechukwu Uzoamaka Ajumobi, DNP FNP-C
• Confidence Ajuzie
• Ajw Counseling, LLC
• Sibel Ak, MD
• Sandra Akachukwu
• Crystal Chinasa Akah, APRN, FNP

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.