Fadumo Hassan Ismail
NPI 1336862408ActiveIndividual· Physician Assistant· Edina, MN
Physician Assistant in Edina, Minnesota, licensed in MN, with an NPI issued in September 2022. Enrolled in Medicare as practitioner - physician assistant. Medline Industries LP reported $17.95 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1336862408 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 22, 2022 |
| Last updated in NPPES | Nov 19, 2024 |
| Certified by provider | Nov 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14972 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|
Industry payments (Open Payments)
- 2024$17.95 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medline Industries LP | $17.95 | 1 |
What the 2024 payments were for
- Food and Beverage$17.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 148 physician assistants in Edina · All physician assistants in Minnesota