Individual provider Active NPI

Daisy Anjei Ayim, MD

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1417159047
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M7837 Issued in TX
Practice address
12606 W Houston Center Blvd
Suite 120
Houston, TX 77082-2784
Phone
(713) 640-5922
Fax
(713) 640-5982
NPI assigned
Jun 5, 2007
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD60739143 WA
Obstetrics & Gynecology Physician 207V00000X M7837 TX Primary

Addresses

Primary practice location

12606 W Houston Center Blvd
Suite 120
Houston, TX 77082-2784

Mailing address

12606 W Houston Center Blvd
Suite 120
Houston, TX 77082-2784
Phone (713) 640-5922

Other practice location 1

21616 76th Ave W Ste 205
Edmonds, WA 98026-7512
Phone (206) 320-4476

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
I20090311000267 TX Practitioner - Obstetrics/Gynecology 2769575604 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Physicians Group PLLC Current Accepting new patients
Round Table Specialist Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Johns Hopkins Community Physicians, Inc Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

11103 Westheimer Rd
#C
Houston, TX 77042

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJABA/Endpoint/GEJABA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1417159047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822784",
            "telephone_number": "713-640-5922",
            "fax_number": "713-640-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822784",
            "telephone_number": "713-640-5922",
            "fax_number": "713-640-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21616 76th Ave W Ste 205",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980267512",
            "country_code": "US",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYIM",
        "first_name": "DAISY",
        "middle_name": "ANJEI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60739143",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M7837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.