Moyosade Adeyinka Ajala, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N8264 Issued in TX

Practice address

410 E Pioneer Pkwy
Suite 300
Grand Prairie, TX 75051-4983

Phone

(469) 733-1890

Fax

(469) 733-1894

NPI assigned

Sep 7, 2007

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

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

Specialty

Family Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Primary Health Physicians, PLLC

  • Urgent Care Clinic/Center
  • Denton, TX
  • NPI 1770048704
  Medicare reassignment Care Compare group NPD
• Dallas County Mental Health & Mental Retardation Center

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1023239886
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Plano, TX
  • NPI 1619922549
  NPD (past)
• Topcare Medical Group Inc

  • Specialist
  • Dallas, TX
  • NPI 1730337163
  NPD (past)
• Topcare Medical PA

  • Specialist
  • Irving, TX
  • NPI 1043231400
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1346435815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E JOHN CARPENTER FWY",
            "address_2": "SUITE 850",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622727",
            "telephone_number": "972-957-3000",
            "fax_number": "972-957-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E PIONEER PKWY",
            "address_2": "SUITE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514983",
            "telephone_number": "469-733-1890",
            "fax_number": "469-733-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJALA",
        "first_name": "MOYOSADE",
        "middle_name": "ADEYINKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10027990",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N8264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahl Eyecare PLLC
• Myra Ahmed
• Ai Community Services LLC
• Omowunmi Folasade Aiyeola
• Omoike Eric Aizenofe, M.DIV. BCC
• Comfort Ajayi, CSA
• Oluwatosin B Ajibola
• Akard Healthcare, LLC
• Akard Homes, Inc
• Brenda Akhigbe

• Family Medicine Physician in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.