Individual provider Active NPI

Ahmed Ibrahim Abdalla

  • Transportation Network Company
  • Reynoldsburg, OH
National Provider Identifier
1073475273
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
License
AQ000225 Issued in OH
Practice address
2672 Castine Way
Reynoldsburg, OH 43068-4158
Phone
(614) 815-3895
NPI assigned
Nov 26, 2025
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X AQ000225 OH Primary

Addresses

Primary practice location

2672 Castine Way
Reynoldsburg, OH 43068-4158

Mailing address

2672 Castine Way
Reynoldsburg, OH 43068-4158
Phone (614) 815-3895

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

State licenses

LicenseStateTypeSpecialty
AQ000225OHMDTransportation Network Company

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1073475273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 CASTINE WAY",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684158",
            "telephone_number": "614-815-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 CASTINE WAY",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684158",
            "telephone_number": "614-815-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "AHMED",
        "middle_name": "IBRAHIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "OH",
            "license": "AQ000225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.