Abdikarim Abdille

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Practice address

521 Lyn Park Cir N
Minneapolis, MN 55411

Phone

(763) 337-9023

Fax

(612) 886-2840

NPI assigned

Mar 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• A M a Transportation

  • Secured Medical Transport (VAN)
  • Minneapolis, MN
  • NPI 1457712465
  NPD (past) Authorized official

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1104287663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LYN PARK CIR N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113327",
            "telephone_number": "763-337-9023",
            "fax_number": "612-886-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 LYN PARK CIR N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55411",
            "telephone_number": "763-337-9023",
            "fax_number": "612-886-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDILLE",
        "first_name": "ABDIKARIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayub Mohamed Abdilahi
• Kawsar Abdilahi
• Khadra Mohamed Abdilahi
• Semira Abdilahi
• Sumaya Abdi Abdilahi
• Fartun Abdullahi Abdille
• Najma Abdille
• Samira Abdille
• Yasmin Abdille
• Abshiro Abdimalik

• All providers in Minneapolis, MN
• Vehicle Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.