Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dereje Ayo, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1295705325

Dereje Ayo, MD is a Pulmonary Disease in Burleson, Texas. Qualified in 1993, 33 years ago. Practices with Fort Worth Lung Clinic PA, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
33
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11803 S Fwy Ste 311
Burleson, TX 76028-7036
Phone: (817) 568-8411
Fax: (817) 568-8414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 8th Ave Ste 412, Fort Worth, TX 76104-2618 — (817) 336-8773

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence N0617 (TX)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence N0617 (TX)

Record details

NPI number1295705325
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing addressPo Box 16284, Fort Worth, TX 76162-0284

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Fort Worth Lung Clinic Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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