Active NPI
Abdullahi Hussein, PA-C
- Medical Physician Assistant
- Minneapolis, MN
National Provider Identifier
1619376878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2106
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Minneapolis Walk-in Clinic LLC | Current | Accepting new patients |
Locations
4727 Hiawatha Ave
Minneapolis, MN 55406
Phone (612) 205-9326
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Minneapolis, MN
- NPI 1730582156
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.