Adam Donald Ailabouni, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

47598 Issued in MN

Practice address

Ufp - Phalen Village Clinic
1414 Maryland Avenue East
Saint Paul, MN 55106

Phone

(651) 772-3461

Fax

(651) 772-2605

NPI assigned

Jun 15, 2006

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Minnesota Medical School, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adara Home Health Inc Home health agency, Buffalo, MN, CCN 248056
• Allina Health Home Health Home health agency, Minneapolis, MN, CCN 248091
• Northfield Hospital Hospital, Northfield, MN, CCN 240014

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805
  Medicare reassignment Care Compare group NPD
• Northfield Hospital

  dba Northfield Hospital & Clinics - Faribault Clinic

  • Multi-Specialty Clinic/Center
  • Faribault, MN
  • NPI 1588112098
  NPD
• Northfield Hospital

  dba Northfield Hospital & Clinics - Urgent Care Northfield

  • Urgent Care Clinic/Center
  • Northfield, MN
  • NPI 1437668159
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adara Home Health, Inc.

  • Home Health Agency
  • Buffalo, MN
  • NPI 1063420198
  Care Compare affiliation
• Allina Health System

  dba Allina Health Home Health

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1316985039
  Care Compare affiliation
• Northfield Hospital

  • Rural Acute Care Hospital
  • Northfield, MN
  • NPI 1417990805
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1780628461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UFP - PHALEN VILLAGE CLINIC",
            "address_2": "1414 MARYLAND AVENUE EAST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-772-3461",
            "fax_number": "651-772-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UFP - PHALEN VILLAGE CLINIC",
            "address_2": "1414 MARYLAND AVENUE EAST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-772-3461",
            "fax_number": "651-772-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AILABOUNI",
        "first_name": "ADAM",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "47598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhmcnorthfield@direct.northfieldhospital.md",
            "affiliation": "Y",
            "affiliationName": "Northfield Hospital",
            "address_1": "2000 North Ave",
            "city": "Northfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Elizabeth Aiad, NP
• Niladri Aichbhaumik, MD
• Aid & Assist Home Services Inc (Aid and Assist Home Services)
• Aide Bilingual Services
• Hibo Aidid
• Aim Health Care LLC
• Ain Dah Yung Center
• Zuhur Ainab
• Zeba Aini
• Airborne ABA LLC

• Family Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.