Individual provider Active NPI

Abdihakim Mohamed Abdullahi, MD

  • Emergency Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1922682624
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
73765 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
NPI assigned
May 8, 2021
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 83926 WI
Emergency Medicine Physician 207P00000X 73765 MN Primary

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

640 Jackson St
Saint Paul, MN 55101-2502

Other practice location 1

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-3456

Other practice location 2

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3261

Other practice location 3

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

Other practice location 4

927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 430-4529

Other practice location 5

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Other practice location 6

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240715000338 MN Practitioner - Emergency Medicine 3678968385 Reassigns benefits to 2 organizations
I20240715001106 WI Practitioner - Emergency Medicine 3678968385 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83926WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2024 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Regions Hospital CurrentSince Jul 1, 2024 Accepting new patients
Regions Hospital CurrentSince Jul 1, 2024 Accepting new patients
Regions Hospital Emergency Medicine Current Accepting new patients
Hudson Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Jul 1, 2024 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 30, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Westfields Hospital, Inc CurrentSince Jul 1, 2024 Accepting new patients
Lakeview Memorial Hospital Association Inc. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Brighter Home Health Services LLC Current Accepting new patients
Westfields Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

640 Jackson St
#11102F
Saint Paul, MN 55101
Phone (651) 254-3456

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0308

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1922682624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-3456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 E State St",
            "address_purpose": "LOCATION",
            "city": "Saint Croix Falls",
            "state": "WI",
            "postal_code": "540244117",
            "country_code": "US",
            "telephone_number": "715-483-3261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Griffin St E",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540011439",
            "country_code": "US",
            "telephone_number": "715-268-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 Churchill St W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826605",
            "country_code": "US",
            "telephone_number": "651-430-4529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Stageline Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540167848",
            "country_code": "US",
            "telephone_number": "715-531-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULLAHI",
        "first_name": "ABDIHAKIM",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-08",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "83926",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "73765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.