NPIMap

Individual provider Active NPI

Ernest Todd Ajax, MD

  • Neurology Physician
  • Washington, IA
National Provider Identifier
1740256502
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
30503 Issued in IA
Practice address
400 E Polk St
Washington, IA 52353-1237
Phone
(319) 863-2048
Fax
(319) 863-2049
NPI assigned
Feb 23, 2006
Last updated
May 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30503 IA
Neurology Physician 2084N0400X 30503 IA Primary

Addresses

Primary practice location

400 E Polk St
Washington, IA 52353-1237

Mailing address

PO Box 909
Washington, IA 52353-0909
Phone (319) 338-5451

Other identifiers 1

IdentifierTypeStateIssuer
2126268MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000976 IA Practitioner - Neurology 5991753196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Utah School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County HospitalGroup PAC ID 2062329931, shared by 8 NPIs, 39 clinicians

Practice addresses (Care Compare)

400 E Polk St
Washington, IA 52353-1237
Phone (319) 653-5481

400 E Polk St WCHC Specialty Clinic
Ken and Rosemary Hanson Specialty Clinic
Washington, IA 52353-1237
Phone (319) 653-5481

PO Box
Suite 909
Washington, IA 52353-0909

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as individual
Quality
83.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30503IAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital Current Accepting new patients
Washington County Hospital Neurology CurrentSince Oct 1, 2025 Accepting new patients
Washington County Hospital CurrentSince Apr 25, 2016 Accepting new patients
Washington County Hospital Neurology CurrentSince Apr 25, 2016 Accepting new patients
Washington County Hospital Past Accepting new patients

Locations

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

Interoperability endpoints

  • Direct secure messaging: eajax264559@uihcdirect.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/washin-6836dd27

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.

Hospital & facility affiliations 4

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1740256502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523530909",
            "telephone_number": "319-338-5451",
            "fax_number": "319-338-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-863-2048",
            "fax_number": "319-863-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAX",
        "first_name": "ERNEST",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "30503",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "30503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2126268",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.