MOTOLANI MARY AJIBOSE (CRNA) – Midwife, NPI 1174027155

MOTOLANI MARY AJIBOSE (CRNA) is a healthcare provider. based in Houston, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AC008088 (MD). The NPI Number for MOTOLANI MARY AJIBOSE (CRNA) is 1174027155

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
MOTOLANI MARY AJIBOSE (CRNA)
NPI
1174027155
Phone
(281) 670-5108
Address
11321 RICHMOND AVE STE M101
Enumeration Date
22 March 2018
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3016094000
Graduation Year
2025 (1 year ago)
PAC ID
2163913336
Group Practice PAC ID
4284085796
Professional Enrollment ID
I20251114003754
Address ID
MD206465960LA5XXXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for MOTOLANI MARY AJIBOSE (CRNA)

  • Richmond Avenue, Houston, Harris County, Texas, 77006, United States

    HOUSTON, TX 770825545

    Phone: (281) 670-5108

    Type: Location

  • 11321 Richmond Ave Ste M101

    Houston, TX 770825545

    Phone: (346) 400-9068

    Type: Location

  • 5830 CAMELIA EVERGREEN LN

    RICHMOND, TX 774076902

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2025-11-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251114003754ICertified Registered Nurse Anesthetist (Crna)MDTBD
I20251114003837ICertified Registered Nurse Anesthetist (Crna)DCTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284085796View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YND
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YMD

Reviews

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Frequently asked questions

Does MOTOLANI MARY AJIBOSE (CRNA) have a public NPI I can cite?
Public records show MOTOLANI MARY AJIBOSE (CRNA) under NPI 1174027155.
Is MOTOLANI MARY AJIBOSE (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists MOTOLANI MARY AJIBOSE (CRNA) as active.
Which specialty label fits MOTOLANI MARY AJIBOSE (CRNA)?
NPPES ties MOTOLANI MARY AJIBOSE (CRNA) to Midwife in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MOTOLANI MARY AJIBOSE (CRNA)?
MOTOLANI MARY AJIBOSE (CRNA) is associated with Houston, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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