MOTOLANI MARY AJIBOSE CRNA
NPI 1174027155
Nurse Anesthetist, Certified Registered in Houston, TX
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Motolani Ajibose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- 59 clinicians in this Medicare group
Alexandria, VA 22306
- Reassigned Medicare billing, District of Columbia enrollment
- 634 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 717 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MDUniversity Of MD Charles Regional Medical Center
Acute Care Hospitals · La Plata, MDPhysician 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.
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.
HOUSTON, TX 77082
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Motolani Ajibose located?
Motolani Ajibose practices at 11321 Richmond Ave Ste M101, Houston, TX 77082. The listed phone number is (281) 670-5108.
What is Motolani Ajibose's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Motolani Ajibose enrolled in Medicare?
Yes. Motolani Ajibose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Motolani Ajibose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Motolani Ajibose reassigns Medicare benefits to 3 organizations: Northstar Anesthesia Of Maryland LLC (La Plata, MD), Northstar Anesthesia Of Virginia, LLC (Alexandria, VA) and First Colonies Anesthesia Associates, LLC (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Motolani Ajibose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Motolani Ajibose affiliated with any hospitals?
According to CMS data, Motolani Ajibose is affiliated with University Of MD Capital Region Medical Center and University Of MD Charles Regional Medical Center.
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 11 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.
# Motolani Mary Ajibose, CRNA · NPI 1174027155
Nurse Anesthetist, Certified Registered physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 22, 2018.
## Identity
- **NPI:** 1174027155 (Entity type: Individual)
- **Enumerated:** March 22, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AC008088 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11321 RICHMOND AVE STE M101, Houston, TX 77082-5545
- **Phone:** (281) 670-5108
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northstar Anesthesia Of Maryland LLC (NPI 1528747490, La Plata, MD); Northstar Anesthesia Of Virginia, LLC (NPI 1194488791, Alexandria, VA); First Colonies Anesthesia Associates, LLC (NPI 1740218767, Columbia, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 30, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1174027155) · Data from the CMS NPPES public registry.