Active NPI
Angelina Ibiwari Ayoola, M.D.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1407960792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K9218
- Practice address
- 11706 Fallbrook Dr
Houston, TX 77065-3510 - Phone
- (832) 912-6282
- Fax
- (281) 807-0457
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K9218 | TX | Primary |
Addresses
Primary practice location
11706 Fallbrook Dr
Houston, TX 77065-3510
Mailing address
11706 Fallbrook Dr
Houston, TX 77065-3510
Phone (281) 955-3377
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7999253 | Other | TX | AETNA PROVIDER NUMBER |
| 0082HD | Other | TX | BLUE CROSS BLUE SHEILD |
| 0275391-013 | Other | TX | CIGNA PROVIDER NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Suite 692312
Houston, TX 77269-2312
Hospital & facility affiliations
- Memorial Hermann Memorial City Hospital
- Houston Methodist Willowbrook Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9218 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N. W. Houston Family Practice, P. a. | Family Medicine | Current | Accepting new patients |
| MDS Medical Diagnostic and Supplies LLC | Past | Accepting new patients |
Locations
11706 Fallbrook Dr
Houston, TX 77065
Phone (831) 912-6282
Interoperability endpoints
- angelina.ayoola@nwhfp.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/FCAECD/Endpoint/FCAECD
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1588796296
-
- Oxygen Equipment & Supplies (DME)
- Houston, TX
- NPI 1629344866
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1407960792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11706 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653510",
"telephone_number": "281-955-3377",
"fax_number": "281-807-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11706 FALLBROOK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653510",
"telephone_number": "832-912-6282",
"fax_number": "281-807-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYOOLA",
"first_name": "ANGELINA",
"middle_name": "IBIWARI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K9218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7999253",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "0082HD",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "0275391-013",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.