Organization Active NPI

Hayati Wellness and Glow Clinic

  • Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1093601379
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HAYATI WELLNESS AND GLOW CLINIC
Practice address
200 W Lake St Ste 128
Minneapolis, MN 55408-5303
Phone
(773) 251-6568
NPI assigned
Jun 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Dr. Nadar A Ali, MDNPI 1427469923
Title
MD/Owner
Phone
(612) 500-9919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

200 W Lake St Ste 128
Minneapolis, MN 55408-5303

Mailing address

200 W Lake St Ste 128
Minneapolis, MN 55408-5303
Phone (612) 500-9919

National Provider Directory

National Provider Directory

Locations

200 W Lake St
Ste 128
Minneapolis, MN 55408
Phone (612) 205-1113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1093601379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W LAKE ST STE 128",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085303",
            "telephone_number": "612-500-9919",
            "fax_number": "612-428-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LAKE ST STE 128",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085303",
            "telephone_number": "773-251-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYATI WELLNESS AND GLOW CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "NADAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "612-500-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

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