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MR. AMIDOU DIARRASSOUBA PA
NPI 1912548256
Physician Assistant in Fort Riley, KS

Active since October 07, 2019
6271 FLEETWOOD CT APT 2, FORT RILEY, KS 66442(646) 730-2841 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2023, Feb 4, 2022, Oct 7, 2019 (3 updates tracked since 2019).

About Mr. Amidou Diarrassouba Pa NPPES

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

MR. AMIDOU DIARRASSOUBA PA (NPI 1912548256) is an individual physician assistant in Fort Riley, Kansas and active in the NPI registry since October 2019. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1912548256
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. AMIDOU DIARRASSOUBACredential: PA
Location Address6271 FLEETWOOD CT APT 2Fort Riley, KS 66442-3333
Mailing Address1265 Walton Ave Apt 4bsBronx, NY 10452-7807 · (646) 730-2841
Phone(646) 730-2841
Sole ProprietorYes
Enumeration DateOctober 7, 2019
Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1912548256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6271 FLEETWOOD CT APT 2, Fort Riley, KS 66442
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Secondary Practice Location 1

Location 11265 Walton Ave Apt 4BsBronx, NY 10452-7807 · Phone (646) 730-2841

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 Amidou Diarrassouba's NPI number?

The NPI number for Amidou Diarrassouba is 1912548256. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Amidou Diarrassouba located?

Amidou Diarrassouba practices at 6271 Fleetwood Ct Apt 2, Fort Riley, KS 66442. The listed phone number is (646) 730-2841.

What is Amidou Diarrassouba's specialty?

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

When was this NPI record last updated?

The NPPES record for Amidou Diarrassouba was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.