Active NPI
Abdinajib Hussein
- Non-emergency Medical Transport (VAN)
- Saint Francis, WI
National Provider Identifier
1306537873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- H2500019600113
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H2500019600113 | Other | WI | MEDICAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| H2500019600113 | WI | MD | Non-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.