Individual provider Active NPI

Ellis Atemlefeh Fualefeh-Morfaw, MD

  • Family Medicine Physician
  • Hopkins, MN
National Provider Identifier
1932843653
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79825 Issued in MN
Practice address
12500 Marion LN W Apt 4105
Hopkins, MN 55305-1327
Phone
(612) 327-3266
NPI assigned
Apr 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 79825 MN Primary

Addresses

Primary practice location

12500 Marion LN W Apt 4105
Hopkins, MN 55305-1327

Mailing address

12500 Marion LN W Apt 4105
Hopkins, MN 55305-1327
Phone (612) 327-3266

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
I20220726001041 MN Order and Referring Only - Family PracticePractitioner - Family Practice 4486035268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79825MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aitkin Community Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: efualefehmorfaw187968@direct.northmemorial.com

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1932843653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 MARION LN W APT 4105",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553051327",
            "telephone_number": "612-327-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 MARION LN W APT 4105",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553051327",
            "telephone_number": "612-327-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUALEFEH-MORFAW",
        "first_name": "ELLIS",
        "middle_name": "ATEMLEFEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-27",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "79825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

Verify at the official NPI Registry.