Individual provider Active NPI

Mohamed Shuriye

  • Driver
  • Fargo, ND
National Provider Identifier
1124945266
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
SHU936150 Issued in ND
Practice address
1531 32ND Ave S Ste 102
Fargo, ND 58103-5911
Phone
(701) 799-8159
NPI assigned
Jun 30, 2026
Sex
Male
Sole proprietor
No

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
Driver 172A00000X SHU936150 ND Primary

Addresses

NPPES NPI Registry

Primary practice location

1531 32ND Ave S Ste 102
Fargo, ND 58103-5911

Mailing address

4404 9TH Avenue Cir S Apt 305
Fargo, ND 58103-7019

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2026.

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1124945266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 9TH AVENUE CIR S APT 305",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 32ND AVE S STE 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035911",
            "telephone_number": "701-799-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURIYE",
        "first_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "ND",
            "license": "SHU936150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.