Individual provider Active NPI

Oluwatosin Lisa Ajao, M.D

  • Hospitalist Physician
  • Houston, TX
National Provider Identifier
1063858348
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
R0351 Issued in TX
Practice address
1635 North Loop W
Houston, TX 77008-1532
Phone
(713) 867-2066
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X R0351 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X R0351 TX

Addresses

Primary practice location

1635 North Loop W
Houston, TX 77008-1532

Mailing address

930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450

Other practice location 1

12808 W Airport Blvd Ste 347
Sugar Land, TX 77478
Phone (404) 756-1368

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161129002539 TX Practitioner - Internal Medicine 3274835202 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 867-2066

1635 N Loop W S Tower FL
Suite 1
Houston, TX 77008-1532
Phone (713) 867-2066

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Jul 22, 2017 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Jul 16, 2017 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Sep 9, 2019 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1635 North Loop W
Fl 1
Houston, TX 77008
Phone (713) 867-2066

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1063858348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 FROSTWOOD DR STE 2.200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081532",
            "telephone_number": "713-867-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12808 W Airport Blvd Ste 347",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "77478",
            "country_code": "US",
            "telephone_number": "404-756-1368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJAO",
        "first_name": "OLUWATOSIN",
        "middle_name": "LISA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R0351",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R0351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.