Individual provider Active NPI

Mohamed Abdulle

  • Homemaker
  • Columbus, OH
National Provider Identifier
1114850294
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
4193 Summit Dr
Columbus, OH 43224-6839
Phone
(614) 849-5711
NPI assigned
Jun 8, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4193 Summit Dr
Columbus, OH 43224-6839

Mailing address

PO Box 386
Westerville, OH 43086-0386

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2026.

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1114850294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430860386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4193 SUMMIT DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432246839",
            "telephone_number": "614-849-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLE",
        "first_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "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 Jun 8, 2026; 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.