Adam Afey Mohamed

Primary specialty

DriverTaxonomy code 172A00000X

License

L532-110-983-310 Issued in MN

Practice address

1701 American Blvd E Ste 16
Bloomington, MN 55425-1401

Phone

(612) 203-8376

NPI assigned

Oct 3, 2023

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Serenity Path Living LLC

  • Assisted Living Facility
  • Bloomington, MN
  • NPI 1457206997
  NPD Authorized official
• Twin Lakes Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Bloomington, MN
  • NPI 1588444509
  NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1144000530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AMERICAN BLVD E STE 16",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251401",
            "telephone_number": "612-203-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AMERICAN BLVD E STE 16",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251401",
            "telephone_number": "612-203-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ADAM",
        "middle_name": "AFEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-02-27",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "L532-110-983-310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdirahin Ahmedey Mohamed
• Abdirahman Mohamed
• Abdirahman Ahmednor Mohamed
• Abdirkarim Deek Mohamed
• Abdulhakim D Mohamed
• Adnan Abdisalan Mohamed
• Ahmed Mohamed
• Ahmed Nur Mohamed
• Ahmed Salah Mohamed
• Aliya Mohamed

• Driver in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.