Mustafe Abdi Ismael

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

R338197355114 Issued in MN

Practice address

635 Hilltop Ave Apt C8
Owatonna, MN 55060-2700

Phone

(507) 213-1575

NPI assigned

May 1, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1851956296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 HILLTOP AVE APT C8",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602700",
            "telephone_number": "507-213-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 HILLTOP AVE APT C8",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602700",
            "telephone_number": "507-213-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAEL",
        "first_name": "MUSTAFE",
        "middle_name": "ABDI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "R338197355114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Touch Physical Therapy, Inc.
• Independent School District 761
• Infinia at Owatonna
• Inner Milestones MN LLC
• Innovative Minds ABA of Minnesota, P.C.
• David W Ivance, MD
• Jocelyn Iveland, PHARMD
• Jason Parker Jacobs, CAT, PT
• Mary Lou Jacobsen, MSSW, LICSW
• Kari M Jacott, LPCC

• Non-emergency Medical Transport (VAN) in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.