Individual provider Active NPI

Ayo Ayodeji Ajim, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1255378592
Registry record updated Jun 30, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jan 19, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L2081 Issued in TX
Practice address
10900 Gulf Fwy
Houston, TX 77034-2580
Phone
(713) 946-7246
Fax
(713) 946-0243
NPI assigned
Jun 2, 2006
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 L2081 TX Primary
Emergency Medicine Physician 207P00000X L2081 TX

Addresses

Primary practice location

10900 Gulf Fwy
Houston, TX 77034-2580

Mailing address

3319 Wild River Dr
Richmond, TX 77406-2488
Phone (281) 773-2758

Other names 1

  • Dr. Ahmed Ayodeji Ajimotokan Former name

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000761NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Emergency Room, LLC Current Accepting new patients
G.T. Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
First Street Hospital, LP Past Accepting new patients
Wharton Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Matagorda Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Grace Care PastSince Jan 26, 2020 Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine Past Accepting new patients
Freedom ER Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Emergency Room Services , PA Emergency Medicine Past Accepting new patients
Westlake Emergency Physicians, P.a. Emergency Medicine Past Accepting new patients
Sugarland Emergency Physicians PA Emergency Medicine PastSince Oct 23, 2011 Accepting new patients
Emergency Care Specialists, PA Emergency Medicine Past Accepting new patients
Emergency Physicians of West Bluff PLLC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients
Beltway 8 Emergency Physicians Emergency Medicine Past Accepting new patients
Grace Medical, PA Emergency Medicine Past Accepting new patients
Stat Care of Texas, PA Emergency Medicine Past Accepting new patients
Total Inpatient Services, PA Internal Medicine Past Accepting new patients
Texan Star Emergency Physicians PLLC Emergency Medicine PastSince Jan 19, 2025 Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine Past Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients
Camino Real Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

10900 Gulf Fwy
Ste B102
Houston, TX 77034
Phone (713) 946-7246

1851 Pearland Pkwy
Pearland, TX 77581
Phone (713) 947-2232

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1255378592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 WILD RIVER DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774062488",
            "telephone_number": "281-773-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770342580",
            "telephone_number": "713-946-7246",
            "fax_number": "713-946-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIM",
        "first_name": "AYO",
        "middle_name": "AYODEJI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L2081",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L2081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHMED",
            "last_name": "AJIMOTOKAN",
            "middle_name": "AYODEJI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.