MUSTAFA AJAM M.D.
NPI 1205368909
Internal Medicine - Cardiovascular Disease in Portland, OR

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8311 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2025, May 7, 2023, Apr 12, 2023 and 1 more (4 updates tracked since 2017).

About Mustafa Ajam M.d. NPPES

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

MUSTAFA AJAM M.D. (NPI 1205368909) is an individual cardiovascular disease provider in Portland, Oregon, licensed in Oregon (MD205278) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1205368909
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMUSTAFA AJAMCredential: M.D.
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (503) 494-8311
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 31, 2017
Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1205368909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OR · MD205278
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD205278 (OR)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD205278 (OR)
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Location 1

Location 14201 Saint Antoine St Ste 2EDetroit, MI 48201-2153 · Phone (313) 745-4832

Accepted Insurance

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

Mustafa Ajam M.d. 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 ID6204103674
PECOS Enrollment IDI20230414001608
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380020
Location1460 G StreetSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 20

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

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Mustafa Ajam's NPI number?

The NPI number for Mustafa Ajam is 1205368909. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Mustafa Ajam located?

Mustafa Ajam practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8311.

What is Mustafa Ajam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mustafa Ajam enrolled in Medicare?

Yes. Mustafa Ajam 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.

What insurance does Mustafa Ajam accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Mustafa Ajam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mustafa Ajam affiliated with any hospitals?

According to CMS data, Mustafa Ajam is affiliated with Ohsu Hospital And Clinics and Mckenzie-Willamette Medical Center.

When was this NPI record last updated?

The NPPES record for Mustafa Ajam was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.