Active NPI
Abas Abukar
- Intermediate Emergency Medical Technician
- Milwaukee, WI
National Provider Identifier
1326762105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- A1260140000701
- Practice address
- 3800 S 15TH St
Milwaukee, WI 53221-1608 - Phone
- (716) 292-4866
- NPI assigned
- Sep 27, 2022
- Last updated
- Sep 27, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | A1260140000701 | WI | Primary |
Addresses
Primary practice location
3800 S 15TH St
Milwaukee, WI 53221-1608
Mailing address
3800 S 15TH St
Milwaukee, WI 53221-1608
Phone (716) 292-4866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92-0422097 | Other | WI | NON MEDICAL |
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 |
|---|---|---|---|
| A1260140000701 | WI | MD | Intermediate Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1326762105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S 15TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532211608",
"telephone_number": "716-292-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S 15TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532211608",
"telephone_number": "716-292-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUKAR",
"first_name": "ABAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "WI",
"license": "A1260140000701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON MEDICAL",
"identifier": "92-0422097",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.