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

Mustafa Ajam, MD

Individual provider Internal Medicine Physician · NPI 1205368909

Mustafa Ajam, MD is an Internal Medicine in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with McKenzie Physician Services LLC, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2017
Specialties on file
3
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

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 Saint Antoine St Ste 2e, Detroit, MI 48201-2153 — (313) 745-4832

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD205278 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD205278 (OR)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MD205278 (OR)

Record details

NPI number1205368909
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2017
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice McKenzie Physician Services Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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