Abdisalan Ali Afrah, M.D
Individual provider Active NPI Hospitalist Physician · Maplewood, MN
NPI 1952501736 · NPPES record last updated Mar 30, 2020
Key facts
- NPI
- 1952501736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 54021 (MN)
- Practice address
- 1575 Beam Ave
Maplewood, MN 55109-1126 - Phone
- (651) 232-7000
- NPI assigned
- Jul 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New York Medical Physician Associates PC
Prairie Ridge Hospital and Health Services
Fairview Health Services
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966
649 /2 State St NW
Evansville, MN 56326-8124
Phone (218) 948-2040
712 S Cascade St
Fergus Falls, MN 56537-2913
Phone (218) 736-8000
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
- Wynn Hospital
- Prairie Ridge Hospital and Health Services
- M Health Fairview University of MN Medical Center
- Lake Region Healthcare Corporation
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.64 of 100
- Quality
- 86.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.29
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110711000383 | MN | Practitioner - Internal Medicine |
4082792924 | Reassigns benefits to 7 organizations |
| I20210430000962 | NY | Practitioner - Internal Medicine | 4082792924 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54021 | MN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Medical Physician Associates PC | Internal Medicine | Current |
Accepting new patients |
| Healtheast Care System | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Internal Medicine | Current |
Accepting new patients |
| New York University | Internal Medicine | Current |
Accepting new patients |
| Healtheast Woodwinds Hospital | Current |
Accepting new patients | |
| New York University | Internal Medicine | Current |
Accepting new patients |
| Fairview Bethesda Hospital | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| New York Medical Physician Associates PC | Hospitalist | Current |
Accepting new patients |
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| Fairview Health Services | Internal Medicine | Current |
Accepting new patients |
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| Healtheast Medical Research Institute | Current |
Accepting new patients | |
| Lake Region Healthcare Corporation | Current |
Accepting new patients | |
| MVHS Inc | Past | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300
649 State St NW
Evansville, MN 56326
Phone (218) 948-2040
712 S Cascade St
Fergus Falls, MN 56537
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
300 Community Dr
Plandome, NY 11030
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
Interoperability endpoints
- aafrah205485@fairview.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101242022 | VA | |
| Hospitalist Physician | 208M00000X | 54021 | MN | Yes |
Addresses
Primary practice location
1575 Beam Ave
Maplewood, MN 55109-1126
Mailing address
PO Box 1430
Harrisonburg, VA 22803-1430
Phone (540) 564-5791
Other practice location 1
235 Cantrell Ave
Harrisonburg, VA 22801-3248
Phone (540) 564-7364
Other practice location 2
915 E 1st St
Duluth, MN 55805-2107
Phone (218) 249-5555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952501736 | Medicaid | VA |
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- Emily Marie Aeshliman
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- Harsh Aggarwal
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All providers in Maplewood, MN · Hospitalist Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.