Individual provider Active NPI

Sharmake Duqow

  • Non-emergency Medical Transport (VAN)
  • Bloomington, MN
National Provider Identifier
1043054489
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
8609 Lyndale Ave S Ste 201a
Bloomington, MN 55420-2754
Phone
(612) 517-4331
Fax
(612) 439-8005
NPI assigned
Jun 20, 2024
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

8609 Lyndale Ave S Ste 201a
Bloomington, MN 55420-2754

Mailing address

8609 Lyndale Ave S Ste 201a
Bloomington, MN 55420-2754
Phone (612) 517-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1043054489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S STE 201A",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202754",
            "telephone_number": "612-517-4331",
            "fax_number": "612-439-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S STE 201A",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202754",
            "telephone_number": "612-517-4331",
            "fax_number": "612-439-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQOW",
        "first_name": "SHARMAKE",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.