AJMEDICUS
NPI 1447096417
Clinic/Center - Multi-Specialty in Bullhead City, AZ
About Ajmedicus NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AJMEDICUS (NPI 1447096417) is a healthcare organization registered as a multi-specialty in Bullhead City, Arizona and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Samuel Joseph, Provider, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ajmedicus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ajmedicus, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2343087
Ajmedicus · Bullhead City, AZFrequently 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 Ajmedicus's NPI number?
The NPI number for Ajmedicus is 1447096417. It was assigned to this organization in the NPPES registry on July 8, 2024.
Where is Ajmedicus located?
Ajmedicus is located at 1467 Palma Rd Ste 4, Bullhead City, AZ 86442. The listed phone number is (561) 573-8521.
What is Ajmedicus's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Ajmedicus enrolled in Medicare?
Yes. Ajmedicus is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ajmedicus?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ajmedicus. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ajmedicus hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2343087) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ajmedicus was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Ajmedicus · NPI 1447096417
Multi-Specialty organization in Bullhead City, Arizona. Organization record, active in the CMS NPPES registry since July 8, 2024.
## Identity
- **NPI:** 1447096417 (Entity type: Organization)
- **Enumerated:** July 8, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Samuel Joseph, PROVIDER, MANAGER
## Practice location
- **Address:** 1467 PALMA RD STE 4, Bullhead City, AZ 86442-6785
- **Phone:** (561) 573-8521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447096417) · Data from the CMS NPPES public registry.