Ismail Hassan Mualin, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

49433 Issued in MN

Practice address

4039 Brookside Ave
Saint Louis Park, MN 55416-2808

Phone

(612) 473-9392

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HAFJDD/Endpoint/HAFJDD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1801012083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 BROOKSIDE AVE",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162808",
            "telephone_number": "612-473-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 BROOKSIDE AVE",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162808",
            "telephone_number": "612-473-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUALIN",
        "first_name": "ISMAIL",
        "middle_name": "HASSAN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "49433",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Domanski Mowery, R.D. L.D.
• Rebecca Moxness
• Shannon Moy, L. AC.
• Kelsey Christine Moyer
• Grace Mrozinski
• Bryn Mucha
• Morgan Marie Muehlbauer
• Emily Rose Mueller, CRNA
• Patrick Mueller
• Cynthia Kay Muggli

• Internal Medicine Physician in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.