MOTOLANI MARY AJIBOSE CRNA
NPI 1174027155
Nurse Anesthetist, Certified Registered in Houston, TX

Q: What is Motolani Ajibose's NPI number?

The NPI number for Motolani Ajibose is 1174027155. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Q: What is Motolani Ajibose's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Motolani Ajibose was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 22, 2018Accepts Medicare Assignment

11321 RICHMOND AVE STE M101, HOUSTON, TX 77082(281) 670-5108 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Motolani Mary Ajibose Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOTOLANI MARY AJIBOSE CRNA (NPI 1174027155) is an individual nurse anesthetist, certified registered in Houston, Texas, licensed in Maryland (AC008088) and active in the NPI registry since March 2018. She is affiliated with University Of Md Capital Region Medical Center, maintains a secondary practice location in Houston, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174027155

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMOTOLANI MARY AJIBOSECredential: CRNA

Location Address11321 RICHMOND AVE STE M101Houston, TX 77082-5545

Mailing Address5830 Camelia Evergreen LnRichmond, TX 77407-6902

Phone(281) 670-5108

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 22, 2018

Last NPPES UpdateOctober 30, 2025

NPPES CertifiedOctober 30, 2025

✔ NPI 1174027155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MD · AC008088

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

11321 RICHMOND AVE STE M101, Houston, TX 77082

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Secondary Practice Location 1

Location 111321 Richmond Ave Ste M101Houston, TX 77082-5545 · Phone (346) 400-9068

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Motolani Mary Ajibose Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163913336

PECOS Enrollment IDI20251114003754, I20251114003837

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210003

Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County

Emergency services Birthing friendly

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210035

Location5 Garrett AvenueLa Plata, MD 20646 · Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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