Ajamu I Akamefula, MD
Individual provider Active NPI Nuclear Medicine Physician · Brookline, MA
NPI 1619980752 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1619980752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nuclear Medicine Physician 207U00000X
- License
- 238034 (MA)
- Practice address
- 1751 Beacon St
Brookline, MA 02445-5349 - Phone
- (617) 731-1156
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238034 | MA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | General Practice | Current |
Accepting new patients |
| Signify Health Medical Associates, PLLC | General Practice | Current |
Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 238034 | MA | |
| Nuclear Medicine Physician | 207U00000X | 238034 | MA | Yes |
Addresses
Primary practice location
1751 Beacon St
Brookline, MA 02445-5349
Mailing address
1751 Beacon St
Brookline, MA 02445-5349
Phone (617) 731-1156
Other providers in Brookline, MA
- Aesthetic Services Inc.
- Shubh Agrawal
- Naima Aguayo-Pohl
- Aruni Ahilan
- Julie M Ahnallen
- Ayobami Akindumila
- Amy Bray Akland
- Hamza Aksu
- Samira Al-Ghuiyy
- Nadia Monica Al-Masri
All providers in Brookline, MA · Nuclear Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.