Individual provider Active NPI

Somkenechi Ijeoma Ajene, DO

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1508487570
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
U7372 Issued in TX
Practice address
3450 W Wheatland Rd
Dallas, TX 75237-3470
Phone
(927) 709-7110
Fax
(972) 709-7128
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X U7372 TX Primary

Addresses

Primary practice location

3450 W Wheatland Rd
Dallas, TX 75237-3470

Mailing address

3450 W Wheatland Rd
Dallas, TX 75237-3470
Phone (927) 709-7110

Other practice location 1

2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

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
I20250724002973 TX Practitioner - General Surgery 9032530357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lincoln Memorial University Medical Department, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

3450 W Wheatland Rd
Suite 340
Dallas, TX 75237-4411
Phone (972) 709-9300

Hospital & facility affiliations

  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U7372TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Sep 2, 2025 Accepting new patients
Medhealth CurrentSince Sep 2, 2025 Accepting new patients

Locations

3450 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-7777

3430 W Wheatland Rd
Ste 119
Dallas, TX 75237
Phone (972) 296-5252

3450 W Wheatland Rd
Ste 340
Dallas, TX 75237
Phone (214) 941-4243

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

Interoperability endpoints

  • Direct secure messaging: sajene278657@dm.mhd.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1508487570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "927-709-7110",
            "fax_number": "972-709-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "927-709-7110",
            "fax_number": "972-709-7128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 E Broad St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760639186",
            "country_code": "US",
            "telephone_number": "682-518-8619",
            "fax_number": "682-518-8195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJENE",
        "first_name": "SOMKENECHI",
        "middle_name": "IJEOMA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U7372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.