Individual provider Active NPI

Abudumijiti Aibaidula, MD

  • Neurological Surgery Physician
  • Columbia, MO
National Provider Identifier
1912690835
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2023019474 Issued in MO
Practice address
One Hospital Drive University of Missouri Healthcare
Department of Neurosurgery
Columbia, MO 65212-0001
Phone
(573) 882-3957
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2023019474 MO Primary

Addresses

Primary practice location

One Hospital Drive University of Missouri Healthcare
Department of Neurosurgery
Columbia, MO 65212-0001

Mailing address

One Hospital Drive University of Missouri Healthcare
Department of Neurosurgery
Columbia, MO 65212-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230614002772 MO Order and Referring Only - NeurosurgeryPractitioner - Neurosurgery 1153789722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2023019474MOMDNeurological Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1912690835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DRIVE UNIVERSITY OF MISSOURI HEALTHCARE",
            "address_2": "DEPARTMENT OF NEUROSURGERY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DRIVE UNIVERSITY OF MISSOURI HEALTHCARE",
            "address_2": "DEPARTMENT OF NEUROSURGERY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-882-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIBAIDULA",
        "first_name": "ABUDUMIJITI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2023019474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.