Individual provider Active NPI

Liban Abdukadir Elmi

  • Driver
  • Columbus, OH
National Provider Identifier
1063126332
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
4179 Helenrose LN
Columbus, OH 43230-4059
Phone
(614) 806-2032
NPI assigned
Jan 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X OH Primary

Addresses

Primary practice location

4179 Helenrose LN
Columbus, OH 43230-4059

Mailing address

3280 Morse Rd Ste 209
Columbus, OH 43231-6175
Phone (614) 806-2032

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

Practice roles

OrganizationSpecialtyStatusNew patients
Secure Medical Transportation LLC Current Accepting new patients

Locations

3280 Morse Rd
Ste 209
Columbus, OH 43231
Phone (614) 475-4446

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1063126332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 MORSE RD STE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316175",
            "telephone_number": "614-806-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 HELENROSE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432304059",
            "telephone_number": "614-806-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMI",
        "first_name": "LIBAN",
        "middle_name": "ABDUKADIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.