Universal Medical Services, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

UNIVERSAL MEDICAL SERVICES, INC

Practice address

1 W Lake St
Minneapolis, MN 55408-3154

Phone

(612) 767-1557

NPI assigned

May 28, 2019

Organization subpart

Yes

Parent organization

UNIVERSAL MEDICAL SERVICES, INCAs reported in NPPES

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

Authorized official

Name

Zillehuma Ebrahim

Title

Ceo

Phone

(612) 282-7492

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 3

• AXIS Medical Center Doing business as
• dba Axis Medical Center Doing business as
• Axis Lake St Other name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Federally qualified health center certification: CCN 241887

Legal name

UNIVERSAL MEDICAL SERVICES, INC

Doing business as

AXIS MEDICAL CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 2, 2019

Last certification

Oct 2, 2019

Ownership / control type

For profit – corporation

Organization structure

OtherNon-profit

Enrollment address

1 W Lake St
Minneapolis, MN 55408-3154

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Universal Medical Services Inc

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1124214630

  O20190919000883

  Same enrollment

Part of

Universal Medical Services Inc Dbaaxis Medical Center

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Crispin Semakula, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Minneapolis, MN
  • NPI 1538107214

  Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saida Yassin, M.D

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1144752478
  NPD (past)

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1538726393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033791",
            "telephone_number": "612-823-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083154",
            "telephone_number": "612-767-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSAL MEDICAL SERVICES, INC",
        "enumeration_date": "2019-05-28",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "EBRAHIM",
        "authorized_official_first_name": "ZILLEHUMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-282-7492"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538726393",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AXIS Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba Axis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba Axis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Axis Lake St",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Universal Language Network
• Universal Medical Services Inc
• Universal Medical Services Inc
• Universal Medical Services Inc
• Universal Medical Services Inc
• Universal Medical Services, Inc Dbaaxis Medical Center
• Universal Medical Services, Inc Dbaaxis Medical Center
• Universal Medical Services, Inc.
• Universal Optical LLC
• Universal Therapy LLC

• Federally Qualified Health Center (FQHC) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Federally Qualified Health Center (FQHC) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.