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FADUMO ABDDULLAHI BASHIR
NPI 1831880335
Physician Assistant in Minneapolis, MN

Active since May 16, 2023PECOS Enrolled
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 545-7622 Get Directions Write a Review

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

Record update history: Apr 6, 2026, May 16, 2023 (2 updates tracked since 2023).

About Fadumo Abddullahi Bashir NPPES

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

FADUMO ABDDULLAHI BASHIR (NPI 1831880335) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (15647) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1831880335
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFADUMO ABDDULLAHI BASHIR
Location Address2211 RIVERSIDE AVEMinneapolis, MN 55454-1350
Mailing Address2211 Riverside AveMinneapolis, MN 55454-1350 · (612) 545-7622
Phone(612) 545-7622
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 16, 2023
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1831880335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 15647
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2211 RIVERSIDE AVE, Minneapolis, MN 55454
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Secondary Practice Locations 2

Location 1927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 430-4529
Location 2640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 254-3456

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fadumo Abddullahi Bashir is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254806755
PECOS Enrollment IDI20260413001865
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

COURTNEY FIELDS
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE, CAMPUS BOX 149
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1388
SKYLAR ROSE KAMROWSKI PA-S
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE, CAMPUS BOX 149
MINNEAPOLIS, MN 55454
Hennepin County (507) 429-5447
ALEXANDREA MARIE KOWALKE
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (763) 273-0177
SHAMSO HAJI JAMA
Physician Assistant
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1399
JOSHUA FREYHOLTZ
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1757
KASSONDRA JO NORDMEYER ATC
Specialist/Technologist (Athletic Trainer)
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1108
ZEA MARIE MILLICENT WOODS
Student in an Organized Health Care Education/Training Program
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1399
GABRIELA ROZADA
Physician Assistant
2211 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 330-1399

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 Fadumo Bashir's NPI number?

The NPI number for Fadumo Bashir is 1831880335. It was assigned to this individual provider in the NPPES registry on May 16, 2023.

Where is Fadumo Bashir located?

Fadumo Bashir practices at 2211 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 545-7622.

What is Fadumo Bashir's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Fadumo Bashir enrolled in Medicare?

Yes. Fadumo Bashir is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fadumo Bashir was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.