Active NPI
Abdirizak Nuno, MD.
- Psychiatry Physician
- Bloomington, MN
National Provider Identifier
1811316730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 61163
- Practice address
- 5270 West 84TH Street
Suite #370
Bloomington, MN 55437 - Phone
- (952) 395-5222
- Fax
- (952) 395-5333
- NPI assigned
- Apr 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 61163 | MN | Primary |
Addresses
Primary practice location
5270 West 84TH Street
Suite #370
Bloomington, MN 55437
Mailing address
5270 West 84TH Street
Suite #370
Bloomington, MN 55437
Phone (952) 395-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597452500 | Medicaid | MN |
Other names 1
- Dr. Abdirizak Nuno
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5270 W 84TH St
Suite 370
Minneapolis, MN 55437-1377
Phone (952) 395-5222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25993 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shifa Metro Clinic PLLC | Psychiatry | Current | Accepting new patients |
Locations
7809 Southtown Ctr
Minneapolis, MN 55431
Phone (612) 396-3762
5270 W 84th St
Ste 370
Minneapolis, MN 55437
Phone (952) 395-5222
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.
-
- Psychiatry Physician
- Bloomington, MN
- NPI 1508443144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1811316730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5270 WEST 84TH STREET",
"address_2": "SUITE #370",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55437",
"telephone_number": "952-395-5222",
"fax_number": "952-395-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 WEST 84TH STREET",
"address_2": "SUITE #370",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55437",
"telephone_number": "952-395-5222",
"fax_number": "952-395-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNO",
"first_name": "ABDIRIZAK",
"name_prefix": "Mr.",
"credential": "MD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "61163",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "597452500",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ABDIRIZAK",
"last_name": "NUNO",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.