Individual provider Active NPI

Hamza Abubakar-Elmehra

  • Home Health Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1356000699
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
939699800037 Issued in MN
Practice address
1821 University Ave W Ste N188
Saint Paul, MN 55104-2870
Phone
(952) 221-0729
Fax
(651) 927-0199
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 939699800037 MN Primary

Addresses

Primary practice location

1821 University Ave W Ste N188
Saint Paul, MN 55104-2870

Mailing address

1821 University Ave W Ste N188
Saint Paul, MN 55104-2870
Phone (952) 221-0729

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
939699800037MNMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Team Home Health Care LLC Dba: Icare Home Health CurrentSince Dec 21, 2021 Accepting new patients

Locations

1821 University Ave W
Ste N188
Saint Paul, MN 55104
Phone (651) 645-4319

Organizations & group practices 1

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1356000699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE N188",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042870",
            "telephone_number": "952-221-0729",
            "fax_number": "651-927-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE N188",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042870",
            "telephone_number": "952-221-0729",
            "fax_number": "651-927-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUBAKAR-ELMEHRA",
        "first_name": "HAMZA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "939699800037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.