Active NPI
Adnan Ajmal, MD
- Endocrinology, Diabetes & Metabolism Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 55957
- Practice address
- 500 W Thomas Rd Ste 900B
Phoenix, AZ 85013-4224 - Phone
- (602) 406-3540
- NPI assigned
- Jul 11, 2008
- Last updated
- Jul 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301104590 | MI | |
| Internal Medicine Physician | 207R00000X | 50594 | MN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 4301104590 | MI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 55957 | AZ | Primary |
Addresses
Primary practice location
500 W Thomas Rd Ste 900B
Phoenix, AZ 85013-4224
Mailing address
3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786
Other practice location 1
655 S Dobson Rd Ste B113
Chandler, AZ 85224-5686
Phone (480) 728-5020
Other practice location 2
1500 East Medical Center Drive
3rd floor Med Inn Rm C333
Ann Arbor, MI 48109-5832
Phone (734) 763-9812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110091667A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50594 | MN | MD | Internal Medicine Physician |
| 55957 | AZ | MD | Endocrinology, Diabetes & Metabolism Physician |
| 4301104590 | MI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livi Medical Services LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Elevation Primary and Palliative
- Family Medicine Physician
- Phoenix, AZ
- NPI 1457667750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1245494046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N CENTRAL AVE STE 1001",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122716",
"telephone_number": "602-406-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 900B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134224",
"telephone_number": "602-406-3540"
}
],
"practiceLocations": [
{
"address_1": "655 S Dobson Rd Ste B113",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852245686",
"country_code": "US",
"telephone_number": "480-728-5020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 East Medical Center Drive",
"address_2": "3rd floor Med Inn Rm C333",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095832",
"country_code": "US",
"telephone_number": "734-763-9812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AJMAL",
"first_name": "ADNAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301104590",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "50594",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MI",
"license": "4301104590",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AZ",
"license": "55957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110091667A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.