Active NPI
Abdullahi Ahmed Ali
- Non-emergency Medical Transport (VAN)
- Galloway, OH
National Provider Identifier
1295396182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 252245
- Practice address
- 403 Millett Dr
Galloway, OH 43119-8032 - Phone
- (614) 804-4512
- NPI assigned
- Jun 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 252245 | OH | Primary |
Addresses
Primary practice location
403 Millett Dr
Galloway, OH 43119-8032
Mailing address
403 Millett Dr
Galloway, OH 43119-8032
Phone (614) 804-4512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0259765 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 252245 | OH | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561161600000",
"number": "1295396182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 MILLETT DR",
"city": "GALLOWAY",
"state": "OH",
"postal_code": "431198032",
"telephone_number": "614-804-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 MILLETT DR",
"city": "GALLOWAY",
"state": "OH",
"postal_code": "431198032",
"telephone_number": "614-804-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "ABDULLAHI",
"middle_name": "AHMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-22",
"last_updated": "2019-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "252245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0259765",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galloway, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.