Noussaiba Ayour, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

5939 Portland Ave
Minneapolis, MN 55417-3127

Phone

(612) 869-4444

Fax

(612) 254-8244

NPI assigned

Jul 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Diamond Lake Clinic, P.C.Group PAC ID 8022324664, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: noussaiba.ayour.1@32670.direct.athenahealth.com
• Direct secure messaging: noussaibaayour@healingmedclinic.kareodirect.com

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.

• Diamond Lake Clinic, P.C.

  • Health Service Clinic/Center
  • Minneapolis, MN
  • NPI 1740669498
  Medicare reassignment Care Compare group
• Trucare Clinic LLC

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1073257572
  Medicare reassignment
• Trucare Urgent Care LLC

  • Urgent Care Clinic/Center
  • Minneapolis, MN
  • NPI 1407590904
  NPD

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1821616764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14369 FAIRWAY DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441956",
            "telephone_number": "952-607-0217",
            "fax_number": "800-398-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554173127",
            "telephone_number": "612-869-4444",
            "fax_number": "612-254-8244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "952-607-0217",
            "fax_number": "800-398-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14369 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553441956",
            "country_code": "US",
            "telephone_number": "952-607-0217",
            "fax_number": "800-398-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2921 Landmark Pl Ste 215",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537134248",
            "country_code": "US",
            "telephone_number": "952-607-0217",
            "fax_number": "800-398-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 University Ave W Ste 107-12",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551040049",
            "country_code": "US",
            "telephone_number": "952-607-0217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYOUR",
        "first_name": "NOUSSAIBA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "8197-23",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "14582",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "TPPA755",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649035213",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy K Ayers, M.S.
• Elizabeth Margaret Ayim, RN
• Michael J Aylward, M.D.
• Bashir Aynab
• Eleni Maria Ayo Caros, LMFT
• Nabeel Azeem
• Shahreyar Azeez, MD
• Eden Mekbib Azerefegn
• Joseph Maher Agib Aziz, M.D.
• Aztec'S Transportation and Home-Care LLC

• Medical Physician Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.
• 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.