Badro Abdi Ali, MD
Individual provider Active NPI Family Medicine Physician · Burnsville, MN
NPI 1629656764 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1629656764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 71904 (MN)
- Practice address
- 14000 Fairview Dr
Burnsville, MN 55337-5713 - Phone
- (952) 993-8700
- NPI assigned
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Park Nicollet Clinic
Practice addresses (Care Compare)
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
Hospital & facility affiliations
- Park Nicollet Methodist Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220830000846 | MN | Practitioner - Family Practice | 6800297144 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Park Nicollet Clinic | Family Medicine | Current |
Accepting new patients |
| Mayo Clinic Health System-Southwest Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic | Current |
Accepting new patients | |
| Mayo Clinic | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Park Nicollet Clinic | Family Medicine | Current | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
14000 Fairview Dr
Burnsville, MN 55337
Phone (952) 993-8608
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 71904 | MN | Yes |
| Family Medicine Physician | 207Q00000X | 31710 | MN |
Addresses
Primary practice location
14000 Fairview Dr
Burnsville, MN 55337-5713
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other providers in Burnsville, MN
- Ali Noor Ali
- Amal Mohamed Ali
- Anisa Ali
- Anisa Hassan Ali
- Ayub Barkhad Ali
- Fadumo Mohamed Ali
- Fardowsa Ali
- Fartoun Ali
- Fartun Ali
- Fathi Ali
All providers in Burnsville, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.