Individual provider Active NPI

Abubakr Eltayeb

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1609714252
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
E4310139202202 Issued in WI
Practice address
6650 W Barnard Ave Apt 107
Milwaukee, WI 53220-4559
Phone
(414) 999-7801
NPI assigned
Mar 24, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X E4310139202202 WI Primary

Addresses

Primary practice location

6650 W Barnard Ave Apt 107
Milwaukee, WI 53220-4559

Mailing address

6650 W Barnard Ave Apt 107
Milwaukee, WI 53220-4559
Phone (414) 999-7801

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
E4310139202202WIMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1609714252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W BARNARD AVE APT 107",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204559",
            "telephone_number": "414-999-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W BARNARD AVE APT 107",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532204559",
            "telephone_number": "414-999-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAYEB",
        "first_name": "ABUBAKR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "E4310139202202",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 24, 2026; 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.