Individual provider Active NPI

Hafsa Mohamed Ali

  • Non-emergency Medical Transport (VAN)
  • Bloomington, MN
National Provider Identifier
1114708310
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1559694500024 Issued in MN
Practice address
9340 James Ave S
Bloomington, MN 55431-2317
Phone
(612) 226-0907
NPI assigned
Oct 12, 2023
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 1559694500024 MN Primary

Addresses

Primary practice location

9340 James Ave S
Bloomington, MN 55431-2317

Mailing address

2301 California St NE Apt 417
Minneapolis, MN 55418-3397
Phone (763) 346-1278

Other names 1

  • Khadija Mohammed Ali Other name

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
1559694500024MNMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Amaan Transportation LLC Non-Emergency Medical Transport (Van) CurrentSince May 18, 2025 Accepting new patients
Connections Behavioral Services LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

9340 James Ave S
Minneapolis, MN 55431
Phone (612) 226-0907

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1114708310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CALIFORNIA ST NE APT 417",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183397",
            "telephone_number": "763-346-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 JAMES AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312317",
            "telephone_number": "612-226-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "HAFSA",
        "middle_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "1559694500024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHADIJA",
            "last_name": "ALI",
            "middle_name": "MOHAMMED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 9, 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.