Active NPI
Abdullahi Hirsi
- Student in an Organized Health Care Education/Training Program
- Louisville, KY
National Provider Identifier
1720952658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 208G00000X
- Practice address
- 2400 S 4TH St
Louisville, KY 40208-1526 - Phone
- (502) 343-0296
- NPI assigned
- Oct 2, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 208G00000X | KY | Primary |
Addresses
Primary practice location
2400 S 4TH St
Louisville, KY 40208-1526
Mailing address
2400 S 4TH St
Louisville, KY 40208-1526
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
| License | State | Type | Specialty |
|---|---|---|---|
| 208G00000X | KY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1720952658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402081526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402081526",
"telephone_number": "502-343-0296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSI",
"first_name": "ABDULLAHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "208G00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.