IndividualActive
Fadumo Bashir
NPI 1831880335 · Physician Assistant · Minneapolis, MN
Provider details
- NPI number
- 1831880335
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 15647 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2211 Riverside Ave
Minneapolis, MN 55454-1350
Phone: (612) 545-7622
Street-level locationGet directions
Mailing address
2211 Riverside Ave
Minneapolis, MN 55454-1350
Additional practice locations (2)
- 640 Jackson StSaint Paul, MN 55101-2502Phone: (651) 254-3456
- 927 Churchill St WStillwater, MN 55082-6605Phone: (651) 430-4529
Registry dates
- Enumerated
- 2023-05-16
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.