AZINGALA AJUA FONDONG (MD) – Emergency Medicine Physician, NPI 1154882702
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
Provider Addresses for AZINGALA AJUA FONDONG (MD)
501 AIR PARK AVE
GREENVILLE, TX 754023000
Phone: (903) 408-5834
Fax: (903) 408-5693
Type: Mailing
4215 JOE RAMSEY BLVD E
GREENVILLE, TX 754017852
Phone: (903) 408-5000
Type: Location
Little Zion Primitive Baptist Church, 1005, Dr D B Todd Jr Boulevard, Nashville, Davidson County, Tennessee, 37208, United States
NASHVILLE, TN 37208
Phone:
Type: Mailing
830 S Gloster St
Tupelo, MS 388014934
Phone: (601) 260-6486
Type: Location
1005 Dr D B Todd Jr. Blvd
Nashville, TN 37208
Phone: (443) 821-9650
Type: Location
3400 MCCULLOUGH BLVD APT 712
BELDEN, MS 388269466
Phone:
Type: Mailing
830 S GLOSTER ST
TUPELO, MS 388014934
Phone: (601) 260-6486
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220929000505 | I | Family Practice | MS | TBD |
| I20240109001110 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 171 | 168 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 60 | 59 | $0 |
| 93042 | Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 40 | 40 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 38 | 38 | $0 |
| 99291 | Critical care, first 30-74 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 75402)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | LA | |
| - | NV | |
| Emergency Medicine, Family Practice | TX | |
| Emergency Medicine | TX | |
| Family Practice | PA | |
| Family Practice | TX | |
| Emergency Medicine, Family Practice | MN | |
| Family Practice | TX | |
| Emergency Medicine | FL | |
| Emergency Medicine | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.