AJAY K AJMANI MD
NPI 1811998867
Internal Medicine in Sanford, NC

Q: What is Ajay Ajmani's NPI number?

The NPI number for Ajay Ajmani is 1811998867. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Ajay Ajmani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ajay Ajmani was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 August 02, 2005PECOS EnrolledAccepts Medicare Assignment

99.01/100

CMS Quality Rating

111 DENNIS DR, SUITE 121, SANFORD, NC 27330(919) 774-5911(919) 774-5957 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Ajay K Ajmani Md NPPES

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

AJAY K AJMANI MD (NPI 1811998867) is an individual internal medicine provider in Sanford, North Carolina, licensed in North Carolina (35248) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Central Carolina Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1811998867

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameAJAY K AJMANICredential: MD

Location Address111 DENNIS DR, SUITE 121Sanford, NC 27330-6343

Mailing AddressPo Box 2058Sanford, NC 27331-2058 · (919) 774-5911 · Fax (919) 774-5957

Phone(919) 774-5911

Fax(919) 774-5957

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateAugust 2, 2005

Last NPPES UpdateJanuary 8, 2025

NPPES CertifiedJanuary 8, 2025

✔ NPI 1811998867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 35248

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 35248 (NC)

111 DENNIS DR, Sanford, NC 27330

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Other Identifiers 1

Medicaid8910483NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Ajay K Ajmani Md 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 ID143399246

PECOS Enrollment IDI20080515000277

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.

Medicare Billing Reassignments

Medicare enrollment records show Ajay Ajmani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ajay K Ajmani MD PA

Same address

Internal Medicine

111 DENNIS DR, SUITE 121
Sanford, NC 27330

Reassigned Medicare billing, North Carolina enrollment

NPI 1548302177 (919) 774-5911

Doctors Vital Care And Screening, PLLC

1.3 mi

Primary Care

150 N STEELE ST
Sanford, NC 27330

Reassigned Medicare billing, North Carolina enrollment

NPI 1073712337 (919) 776-7255

Carolina Park Medical Center PLLC

18 mi

General Practice

984 THOMPSON ST, SUITE E2
Pittsboro, NC 27312

Reassigned Medicare billing, North Carolina enrollment

NPI 1154740561 (919) 533-4804

Integrated Wound Specialists Of North Carolina, PLLC

23 mi

Undersea and Hyperbaric Medicine

35 MEMORIAL DR
Pinehurst, NC 28374

Reassigned Medicare billing, North Carolina enrollment
52 clinicians in this Medicare group

NPI 1558666776 (910) 715-5901

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

645 services45 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

287 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

278 services82 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

112 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services35 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

82 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

50 services49 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

39 services39 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

31 services31 patients

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

24 services24 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

16 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340020

Location1135 Carthage StSanford, NC 27330 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27330 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

80.74

Reported Quality Measures

Breast Cancer Screening

80%217 patients4/55-star benchmark: 93%

Cervical Cancer Screening

75%262 patients4/55-star benchmark: 98%

Controlling High Blood Pressure

72%247 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

74%2,855 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

80%187 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 202 patients

Patients totalRate: 0% · 202 patients

0%202 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers14 claims30 services$5.27 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier18 claims18 services$55.62 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers24 claims24 services$105.28 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. SAMUEL DAVID ALOIAN JR. PH D

Physician Assistant

111 DENNIS DR
SANFORD, NC 27330

Lee County (919) 774-5911

AJAY K AJMANI MD PA

Internal Medicine

111 DENNIS DR, SUITE 121
SANFORD, NC 27330

Lee County (919) 774-5911

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 Ajay Ajmani's NPI number?

The NPI number for Ajay Ajmani is 1811998867. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Ajay Ajmani located?

Ajay Ajmani practices at 111 Dennis Dr Suite 121, Sanford, NC 27330. The listed phone number is (919) 774-5911.

What is Ajay Ajmani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ajay Ajmani enrolled in Medicare?

Yes. Ajay Ajmani 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 Ajay Ajmani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Ajmani reassigns Medicare benefits to 4 organizations: Ajay K Ajmani MD PA (Sanford, NC), Doctors Vital Care And Screening, PLLC (Sanford, NC), Carolina Park Medical Center PLLC (Pittsboro, NC) and Integrated Wound Specialists Of North Carolina, PLLC (Pinehurst, NC). 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 Ajay Ajmani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajay Ajmani accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Ajay Ajmani 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 Ajay Ajmani affiliated with any hospitals?

According to CMS data, Ajay Ajmani is affiliated with Central Carolina Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Ajmani was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.