Abdirazak Ibrahim Ali, MD
Individual provider Active NPI Family Medicine Physician · Mankato, MN
NPI 1265128706 · NPPES record last updated Aug 20, 2026
Key facts
- NPI
- 1265128706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 77425 (MN)
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 625-1811
- NPI assigned
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230504001300 | MN | Order and Referring Only - Family Practice |
9638534233 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33328 | MN | |
| Family Medicine Physician | 207Q00000X | 77425 | MN | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | 33328 | MN |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aali677992@excellian.direct.allina.com | ||
| Direct Messaging Address | aali1950754@ehrdirect.mayoclinicmsg.org |
Other providers in Mankato, MN
- Claire Alexander
- Abel Alfonso
- Amy Alger
- Faysal Alhasan
- Abdiaziz Sahal Ali
- Syed Behzad Ali
- Erisa Alia
- Nidal Alkurdy
- Scott T Allen
- Thomas Allen
All providers in Mankato, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.