Individual provider Active NPI

Abdullahi Mohamed Ali

  • Driver
  • Minneapolis, MN
National Provider Identifier
1265203871
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
R000-083-974-700 Issued in MN
Practice address
2732 Chicago Ave Apt 2
Minneapolis, MN 55407-3787
Phone
(612) 400-3280
Fax
(612) 400-3280
NPI assigned
Jan 11, 2024
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X R000-083-974-700 MN Primary

Addresses

Primary practice location

2732 Chicago Ave Apt 2
Minneapolis, MN 55407-3787

Mailing address

3055 Old Highway 8 Ste 211
St Anthony, MN 55418-2492
Phone (612) 402-3786

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
R000-083-974-700MNMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Ama to Ride LLC CurrentSince Aug 17, 2025 Accepting new patients

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1265203871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 211",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182492",
            "telephone_number": "612-402-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 CHICAGO AVE APT 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073787",
            "telephone_number": "612-400-3280",
            "fax_number": "612-400-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "ABDULLAHI",
        "middle_name": "MOHAMED",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "R000-083-974-700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.