Alice Amah Ajim, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

L2080 Issued in TX

Practice address

10900 Gulf Fwy Ste B102
Houston, TX 77034-2581

Phone

(713) 946-7246

Fax

(713) 946-0243

NPI assigned

Jun 2, 2006

Last updated

May 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Alice A Ajimotokan Former name

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

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1205309374
  Medicare reassignment NPD Authorized official
• Grace Emergency Room, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Houston, TX
  • NPI 1538508635
  NPD Authorized official
• Alice a. Ajim

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1679779458
  NPD (past) Authorized official
• Grace Medical, PA

  dba Grace ER

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1689147498
  Authorized official Same address or phone
• Texas Medical and Geriatric Ctr

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1447318621
  NPD (past) Authorized official
• Applause Health Services. LLC

  • Health Service Clinic/Center
  • Stafford, TX
  • NPI 1043037393
  NPD (past)
• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1447297783",
    "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": "281-989-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 GULF FWY STE B102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770342581",
            "telephone_number": "713-946-7246",
            "fax_number": "713-946-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIM",
        "first_name": "ALICE",
        "middle_name": "AMAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L2080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "AJIMOTOKAN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olufunke Ajibola
• Motolani Mary Ajibose, CRNA
• Abolaji Ajiboye
• Nkechi Uche Ajide, PHARM.D.
• Adeola Ajijolaiya, MD
• Ayo Ayodeji Ajim, MD
• Ajinder S. Dhatt, MD, P.a.
• Priscilla Ada Ajiteru, CNA
• Tochi Ajiwe, MD
• Leena Ajjour, OD

• Geriatric Medicine (Internal Medicine) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.