Individual provider Active NPI

Abdinajib Hussein

  • Non-emergency Medical Transport (VAN)
  • Saint Francis, WI
National Provider Identifier
1306537873
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
H2500019600113 Issued in WI
Practice address
3739 S Packard Ave Apt 218
Saint Francis, WI 53235-4325
Phone
(414) 331-9360
NPI assigned
May 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X H2500019600113 WI Primary

Addresses

Primary practice location

3739 S Packard Ave Apt 218
Saint Francis, WI 53235-4325

Mailing address

3739 S Packard Ave Apt 218
Saint Francis, WI 53235-4325
Phone (414) 331-9360

Other identifiers 1

IdentifierTypeStateIssuer
H2500019600113OtherWIMEDICAL TRASPORTATION

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
H2500019600113WIMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1306537873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 S PACKARD AVE APT 218",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532354325",
            "telephone_number": "414-331-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3739 S PACKARD AVE APT 218",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532354325",
            "telephone_number": "414-331-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "ABDINAJIB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "H2500019600113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRASPORTATION",
            "identifier": "H2500019600113",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.