Idil Abdirahman Mohamed, PA-C
NPI 1255738373ActiveIndividual· Physician Assistant· Shakopee, MN
Physician Assistant (PA-C) in Shakopee, Minnesota, trained at University of North Dakota School of Medicine (class of 2014). 22 Medicare patients in 2024, $1,784 paid; nearly all of their 64 Part D prescriptions were generic (94%).
Overview
| NPI | 1255738373 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 4, 2014 |
| Last updated in NPPES | Jun 21, 2024 |
| Certified by provider | Jun 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 11720 | MN |
| Physician Assistant, Medical | 363AM0700X | 11720 | MN |
| Physician Assistant, Surgical | 363AS0400X | 11720 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 48 across 14 procedure codes |
| Paid by Medicare | $1,784 |
Part D prescriptions in 2024
| Prescriptions (claims) | 64 · 66 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $600.47 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of North Dakota School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Physician Assistant |
Medical group
- Fairview Health ServicesSaint Paul, MN · 667 clinicians
Hospital affiliation
- M Health Fairview Ridges HospitalBurnsville, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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