Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MOHAMED ABDULCADIR ABDULLAHI M.D.
NPI 1437475431
Internal Medicine - Pulmonary Disease in Mankato, MN

Q: What is Mohamed Abdullahi's NPI number?

The NPI number for Mohamed Abdullahi is 1437475431. It was assigned to this individual provider in the NPPES registry on April 15, 2010.

Q: What is Mohamed Abdullahi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Mohamed Abdullahi was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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 15, 2010PECOS Enrolled

1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2023, Feb 28, 2022, Feb 16, 2022 and 5 more (8 updates tracked since 2017).

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About Dr. Mohamed Abdulcadir Abdullahi M.d. NPPES

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

DR. MOHAMED ABDULCADIR ABDULLAHI M.D. (NPI 1437475431) is an individual pulmonary disease provider in Mankato, Minnesota, licensed in Minnesota (61874) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Albert Lea And Austin, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437475431

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. MOHAMED ABDULCADIR ABDULLAHICredential: M.D.

Location Address1025 MARSH STMankato, MN 56001-4752

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 625-4031

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 15, 2010

Last NPPES UpdateOctober 22, 20268 updates tracked since enumeration

NPPES CertifiedOctober 22, 2026

✔ NPI 1437475431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in MN · 61874✔ Licensed in WI · 65983

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 61874 (MN)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 61874 (MN)

1025 MARSH ST, Mankato, MN 56001

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Secondary Practice Locations 2

Location 11527 E Lake StMinneapolis, MN 55407-6700 · Phone (612) 345-7175 · Fax (612) 778-9857

Location 2800 West Ave SLa Crosse, WI 54601-8806 · Phone (608) 785-0940

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohamed Abdulcadir Abdullahi M.d. 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 ID8921227208

PECOS Enrollment IDI20190514000521

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.

Medicare Billing Reassignments

Medicare enrollment records show Mohamed Abdullahi reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southwest Minnesota Region

Same address

Multi-Specialty

1025 MARSH ST
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment
1,572 clinicians in this Medicare group

NPI 1578545422 (507) 625-4031

Trucare Clinic LLC

65 mi

Primary Care

1527 E LAKE ST STE 1
Minneapolis, MN 55407

Reassigned Medicare billing, Minnesota enrollment
3 clinicians in this Medicare group

NPI 1073257572 (267) 475-3076

Trucare Urgent Care LLC

65 mi

Urgent Care

1527 E LAKE ST STE 1
Minneapolis, MN 55407

Reassigned Medicare billing, Minnesota enrollment
3 clinicians in this Medicare group

NPI 1407590904 (267) 475-3076

Mchs Hospitals Inc

129 mi

Clinic/Center

2310 CRAIG RD
Eau Claire, WI 54701

Reassigned Medicare billing, Wisconsin enrollment
2,476 clinicians in this Medicare group

NPI 1316416035 (715) 858-8100

Marshfield Clinic Inc

191 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Wisconsin enrollment
2,540 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Aspirus Stevens Point Hospital & Clinics, Inc.

220 mi

Clinic/Center

209 PRENTICE STREET NORTH
Stevens Point, WI 54481

Reassigned Medicare billing, Wisconsin enrollment
619 clinicians in this Medicare group

NPI 1679706022 (715) 345-5300

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

220 mi

Clinic/Center

824 ILLINOIS AVE
Stevens Point, WI 54481

Reassigned Medicare billing, Wisconsin enrollment
935 clinicians in this Medicare group

NPI 1144991340 (715) 342-7725

Aspirus Merrill Hospital & Clinics, Inc.

223 mi

Critical Access

601 S CENTER AVE
Merrill, WI 54452

Reassigned Medicare billing, Wisconsin enrollment
351 clinicians in this Medicare group

NPI 1124084678 (715) 536-5511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

191 services73 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

72 services55 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

50 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240043

Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County

Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin 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

River's Edge Hospital & Clinic

Critical Access Hospitals · St Peter, MN

OwnershipGovernment - Local

CMS Certification Number241334

Location1900 North Sunrise DriveSt Peter, MN 56082 · Nicollet County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

90%177 patients3/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%27 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

62%93 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

65%93 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

20%93 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

26%93 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$17.87 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers16 claims16 services$906.12 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier13 claims13 services$27.76 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

8 suppliers91 claims91 services$87.69 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers60 claims60 services$34.89 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers18 claims1,590 services$0.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

KRISTIN MARIE CLIFFORD CNP

Nurse Practitioner