Individual provider Active NPI

Ekene E Ajufo, M.D.

  • Pediatrics Physician
  • Hermiston, OR
National Provider Identifier
1962853556
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD221425 Issued in OR
Practice address
600 NW 11TH St Ste E33
Hermiston, OR 97838
Phone
(541) 667-3740
Fax
(541) 303-8743
NPI assigned
Jun 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME134931 FL
Hospitalist Physician 208M00000X R6958 TX
Pediatrics Physician 208000000X R6958 TX
Children's Hospital 282NC2000X
Pediatrics Physician 208000000X MD221425 OR Primary

Addresses

Primary practice location

600 NW 11TH St Ste E33
Hermiston, OR 97838

Mailing address

600 NW 11TH St Ste E33
Hermiston, OR 97838-8604
Phone (541) 667-3740

Other practice location 1

13523 Hargrave Rd
Houston, TX 77070-3829
Phone (281) 206-4496

Other practice location 2

22999 Highway 59 N
Kingwood, TX 77339-4412
Phone (281) 348-8000

Other practice location 3

529 Sunflower Dr
Du Bois, PA 15801-2378
Phone (814) 371-1510

Other practice location 4

500 W Medical Center Blvd
Webster, TX 77598-4220
Phone (281) 332-2511

Other practice location 5

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 975-0412

Other practice location 6

3 Cooper Plz
Suite 200
Camden, NJ 08103-1438
Phone (856) 342-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181003002415 TX Practitioner - Pediatric Medicine 8820346141 Reassigns benefits to 2 organizations
I20181016003916 WY Practitioner - Pediatric Medicine 8820346141 Reassigns benefits to 1 organization
I20190103000221 FL Practitioner - Pediatric Medicine 8820346141 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134931FLMDPediatrics Physician
MD221425ORMDPediatrics Physician
R6958TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Nov 17, 2018 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Nov 17, 2018 Accepting new patients
Ivinson Memorial Hospital CurrentSince Aug 11, 2018 Accepting new patients
Ivinson Memorial Hospital CurrentSince Aug 11, 2018 Accepting new patients
Revamp Rehab, LLC Current Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics CurrentSince Aug 20, 2018 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Jun 15, 2022 Accepting new patients
Sylvester Ajufo Pediatrics Past Accepting new patients
Dubois Regional Medical Center Hospitalist Past Accepting new patients
Good Shepherd Health Care System Pediatrics Past Accepting new patients
Good Shepherd Health Care System Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

3500 Gaston Ave
Dallas, TX 75246

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

Interoperability endpoints

  • Direct secure messaging: eajufo1512048@direct.lhs.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1962853556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E33",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388604",
            "telephone_number": "541-667-3740",
            "fax_number": "541-303-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST STE E33",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "97838",
            "telephone_number": "541-667-3740",
            "fax_number": "541-303-8743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13523 Hargrave Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770703829",
            "country_code": "US",
            "telephone_number": "281-206-4496",
            "fax_number": "281-206-4487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22999 Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773394412",
            "country_code": "US",
            "telephone_number": "281-348-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "529 Sunflower Dr",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158012378",
            "country_code": "US",
            "telephone_number": "814-371-1510",
            "fax_number": "814-371-2922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984220",
            "country_code": "US",
            "telephone_number": "281-332-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031248",
            "country_code": "US",
            "telephone_number": "407-975-0412",
            "fax_number": "407-975-0413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Cooper Plz",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031438",
            "country_code": "US",
            "telephone_number": "856-342-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJUFO",
        "first_name": "EKENE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-25",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME134931",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "R6958",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R6958",
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD221425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.