Individual provider Active NPI

Ajamu I Akamefula, MD

  • Nuclear Medicine Physician
  • Brookline, MA
National Provider Identifier
1619980752
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
238034 Issued in MA
Practice address
1751 Beacon St
Brookline, MA 02445-5349
Phone
(617) 731-1156
NPI assigned
Aug 13, 2006
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 238034 MA
Nuclear Medicine Physician 207U00000X 238034 MA Primary

Addresses

Primary practice location

1751 Beacon St
Brookline, MA 02445-5349

Mailing address

1751 Beacon St
Brookline, MA 02445-5349
Phone (617) 731-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090810000499 MA Practitioner - Diagnostic Radiology 2769586486 Reassigns benefits to 1 organization
I20210823001396 AL Practitioner - Nuclear Medicine 2769586486 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238034MAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC General Practice CurrentSince Apr 30, 2021 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Apr 26, 2023 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 538-0244

155 Federal St
Ste 700
Boston, MA 02110
Phone (469) 466-7420

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, 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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1619980752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455349",
            "telephone_number": "617-731-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024455349",
            "telephone_number": "617-731-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAMEFULA",
        "first_name": "AJAMU",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MA",
            "license": "238034",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MA",
            "license": "238034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.