Individual provider Active NPI

Abdullahi Hussein, PA-C

  • Medical Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1619376878
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2106 Issued in MN
Practice address
327 Cedar Ave S
Minneapolis, MN 55454-1030
Phone
(612) 294-1333
Fax
(612) 333-6329
NPI assigned
Aug 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2106 MN Primary

Addresses

Primary practice location

327 Cedar Ave S
Minneapolis, MN 55454-1030

Mailing address

2930 Blaisdell Ave
Apt 108
Minneapolis, MN 55408-2345
Phone (612) 205-9326

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Minneapolis Walk-in Clinic LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

4727 Hiawatha Ave
Minneapolis, MN 55406
Phone (612) 205-9326

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0b25ce83-fe52-4222-8ff2-02c9187687e9/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1619376878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 BLAISDELL AVE",
            "address_2": "APT 108",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082345",
            "telephone_number": "612-205-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541030",
            "telephone_number": "612-294-1333",
            "fax_number": "612-333-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "ABDULLAHI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.