Active NPI
Mohamoud Ali, M.D.
- Hospitalist Physician
- Minneapolis, MN
National Provider Identifier
1992069090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 284547
- Practice address
- 701 Park Ave South - Medicine
Hennepin County Medical Center
Minneapolis, MN 55415-1829 - Phone
- (612) 873-2300
- Fax
- (612) 904-4358
- NPI assigned
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 284547 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 284547 | NY |
Addresses
Primary practice location
701 Park Ave South - Medicine
Hennepin County Medical Center
Minneapolis, MN 55415-1829
Mailing address
2112 E 117TH St
E
Burnsville, MN 55337-7223
Phone (612) 516-8272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1992069090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 E 117TH ST",
"address_2": "E",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553377223",
"telephone_number": "612-516-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PARK AVE SOUTH - MEDICINE",
"address_2": "HENNEPIN COUNTY MEDICAL CENTER",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151829",
"telephone_number": "612-873-2300",
"fax_number": "612-904-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "MOHAMOUD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-03",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "284547",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "284547",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.