Individual provider Active NPI

Abdirizak Nuno, MD.

  • Psychiatry Physician
  • Bloomington, MN
National Provider Identifier
1811316730
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
61163 Issued in MN
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

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
597452500MedicaidMN

Other names 1

  • Dr. Abdirizak Nuno Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720002249 MN Practitioner - Psychiatry 5890093736 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25993MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shifa Metro Clinic PLLC Psychiatry CurrentSince May 1, 2021 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.

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

Verify at the official NPI Registry.