NPIMap

Individual provider Active NPI

Ahmad Abdulrazzaq Al-Anii, MD

  • Internal Medicine Physician
  • Saint Charles, MN
National Provider Identifier
1609368224
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69326 Issued in MN
Practice address
403 W 4TH St
Saint Charles, MN 55972-2127
Phone
(507) 932-3810
NPI assigned
May 30, 2018
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69326 MN Primary

Addresses

Primary practice location

403 W 4TH St
Saint Charles, MN 55972-2127

Mailing address

403 W 4TH St
Saint Charles, MN 55972-2127
Phone (507) 932-3810

Other practice location 1

404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 377-6285

Other practice location 2

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-2702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112001586 MN Practitioner - Internal Medicine 1951652726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians

Practice addresses (Care Compare)

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69326MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jan 5, 2022 Accepting new patients
Olmsted Medical Center CurrentSince Apr 27, 2025 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jan 5, 2022 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Olmsted Medical Center CurrentSince Apr 27, 2025 Accepting new patients
NSH Whitewater LLC Past Accepting new patients

Locations

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

1000 1st Dr NW
Austin, MN 55912
Phone (507) 433-7351

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

403 W 4th St
Saint Charles, MN 55972
Phone (507) 534-3885

Interoperability endpoints

  • Direct secure messaging: aalanii26168@direct.olmmed.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1609368224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W 4TH ST",
            "city": "SAINT CHARLES",
            "state": "MN",
            "postal_code": "559722127",
            "telephone_number": "507-932-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 4TH ST",
            "city": "SAINT CHARLES",
            "state": "MN",
            "postal_code": "559722127",
            "telephone_number": "507-932-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 W Fountain St",
            "address_purpose": "LOCATION",
            "city": "Albert Lea",
            "state": "MN",
            "postal_code": "560072437",
            "country_code": "US",
            "telephone_number": "507-377-6285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-2702",
            "fax_number": "612-904-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-ANII",
        "first_name": "AHMAD",
        "middle_name": "ABDULRAZZAQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-30",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "69326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MN

Sources for this page

Verify at the official NPI Registry.