Abdirahman Jama Abdi
Individual provider Active NPI Family Nurse Practitioner · Scottsdale, AZ
NPI 1497405229 · NPPES record last updated Feb 7, 2023
Key facts
- NPI
- 1497405229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 274555 (AZ)
- Practice address
- 15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717 - Phone
- (657) 237-2450
- NPI assigned
- Mar 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pathways Medical Partners
Keystone Medical, PLLC
Placita Mobile Primary LLC
Practice addresses (Care Compare)
1700 E River Rd
Suite 65177
Tucson, AZ 85728-3049
Phone (520) 635-9103
6211 N la Cholla Blvd
Life Care
Tucson, AZ 85741-3528
Phone (520) 575-0900
6303 E Tanque Verde Rd
Suite 311
Tucson, AZ 85715-3857
Phone (520) 703-8718
Hospital & facility affiliations
- Haven Home Health Care
- Bayada Home Health Care, Inc
- Dependable Home Health, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.68 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 69.9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220627003360 | AZ | Practitioner - Nurse Practitioner | 8022497726 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274555 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Nextcare Arizona LLC | Current |
Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Associated Internists of Tucson, PLLC | Current |
Accepting new patients | |
| Alsbiei Medical Services PLLC | Current |
Accepting new patients | |
| Keystone Medical, PLLC | Current |
Accepting new patients | |
| Pathways Medical Partners | Current |
Accepting new patients | |
| U2Rworthit1 LLC | Primary Care | Past |
Accepting new patients |
| Arizona Total Care LLC | Past |
Accepting new patients | |
| Catalina Hospice PLLC | Past |
Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388
77 Calle Portal
Ste B260A
Sierra Vista, AZ 85635
Phone (520) 226-4338
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
603 N Wilmot Rd
Ste 201
Tucson, AZ 85711
Phone (520) 729-1311
5232 E Pima St
Tucson, AZ 85712
Phone (480) 685-1147
6211 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 408-4321
1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103
2900 E Milber St
Tucson, AZ 85714
Phone (520) 294-0005
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- aabdi@landmarkhealth-direct.org
- ms_aabdi20@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN203345 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 274555 | AZ | Yes |
Addresses
Primary practice location
15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Mailing address
6001 E Pima St Apt 100
Tucson, AZ 85712-4361
Phone (602) 615-6848
Other practice location 1
6001 E Pima St Apt 100
Tucson, AZ 85712-4361
Phone (602) 615-6848
NPI Registry JSON
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1497405229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 E PIMA ST APT 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124361",
"telephone_number": "602-615-6848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15333 N PIMA RD STE 305",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602717",
"telephone_number": "657-237-2450"
}
],
"practiceLocations": [
{
"address_1": "6001 E Pima St Apt 100",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857124361",
"country_code": "US",
"telephone_number": "602-615-6848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDI",
"first_name": "ABDIRAHMAN",
"middle_name": "JAMA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-25",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AZ",
"license": "RN203345",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "274555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Ehab Salem Abdelkriem Abdallah
- Anwar Abdel-Rahman
- Steven Saad Abdelmalak
- Mahmoud Abdelnabi
- Ryan Eric Abdelnour
- Nasir Abdul-Bari
- Haidar Abdul-Muhsin
- Mohamed M Abdulhamid
- Shad Abdulla
- Faridah Abdullah-Gerdes
All providers in Scottsdale, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.