ABDIFATAH ABDULLAHI AHMED MD
NPI 1043892540
Family Medicine in North Mankato, MN

Q: What is Abdifatah Ahmed's NPI number?

The NPI number for Abdifatah Ahmed is 1043892540. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Q: What is Abdifatah Ahmed's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Abdifatah Ahmed was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment

1695 LOR RAY DR, NORTH MANKATO, MN 56003(507) 625-4031 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, Aug 20, 2024, Jan 13, 2023 and 3 more (6 updates tracked since 2021).

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About Abdifatah Abdullahi Ahmed Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDIFATAH ABDULLAHI AHMED MD (NPI 1043892540) is an individual family medicine provider in North Mankato, Minnesota, licensed in Minnesota (74086) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043892540

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameABDIFATAH ABDULLAHI AHMEDCredential: MD

Location Address1695 LOR RAY DRNorth Mankato, MN 56003-2804

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 263-4221

Phone(507) 625-4031

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 23, 2021

Last NPPES UpdateNovember 6, 20256 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1043892540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 74086

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1695 LOR RAY DR, North Mankato, MN 56003

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Secondary Practice Locations 2

Location 132021 County 24 BlvdCannon Falls, MN 55009-5003 · Phone (507) 263-4221

Location 2101 Martin Luther King Jr. DrMankato, MN 56001 · Phone (507) 594-6572

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abdifatah Abdullahi Ahmed Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163821786

PECOS Enrollment IDI20241008003344

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services40 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

29 services22 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Mayo Clinic Health System In Red Wing

Acute Care Hospitals · Red Wing, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240018

Location701 Hewitt BoulevardRed Wing, MN 55066 · Goodhue County

Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Mayo Clinic Health System - Waseca

Critical Access Hospitals · Waseca, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241345

Location501 North State StreetWaseca, MN 56093 · Waseca County

Emergency services

Mayo Clinic Health System - Cannon Falls

Critical Access Hospitals · Cannon Falls, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241346

Location32021 County 24 BoulevardCannon Falls, MN 55009 · Goodhue County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD K KOWAL DO

Family Medicine