1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MOHAMMAD ABDULLAH ALUTAIBI MBBS
NPI 1073180345
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since June 07, 2021PECOS Enrolled
420 DELAWARE ST SE, MMC 609, MAYO D142, MINNEAPOLIS, MN 55455(612) 624-8133 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Oct 22, 2021, Jun 7, 2021 (3 updates tracked since 2021).

About Mohammad Abdullah Alutaibi Mbbs NPPES

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

MOHAMMAD ABDULLAH ALUTAIBI MBBS (NPI 1073180345) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (79748) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073180345
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOHAMMAD ABDULLAH ALUTAIBICredential: MBBS
Location Address420 DELAWARE ST SE, MMC 609, MAYO D142Minneapolis, MN 55455
Mailing Address420 Delaware St Se, Mmc 609, Mayo D142Minneapolis, MN 55455 · (612) 624-8133
Phone(612) 624-8133
Sole ProprietorNo
Enumeration DateJune 7, 2021
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1073180345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MN · 79748
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE ST SE, MMC 609, MAYO D142, Minneapolis, MN 55455
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Abdullah Alutaibi Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohammad Alutaibi's NPI number?

The NPI number for Mohammad Alutaibi is 1073180345. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Mohammad Alutaibi located?

Mohammad Alutaibi practices at 420 Delaware St SE, Mmc 609, Mayo D142, Minneapolis, MN 55455. The listed phone number is (612) 624-8133.

What is Mohammad Alutaibi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mohammad Alutaibi enrolled in Medicare?

Yes. Mohammad Alutaibi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammad Alutaibi was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.