Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255738373 Individual Practitioner Female Practitioner

Idil Abdirahman Mohamed , PA-C

Physician Assistant • Shakopee, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Idil Mohamed, PA-C is a certified Physician Assistant practicing in Shakopee, MN. With approximately 12 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 2014, Idil Mohamed delivers high-quality medical care to the local community at 8170 OLD CARRIAGE CT STE 100.

Idil Mohamed is affiliated with Fairview Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, hospital observation care on day of discharge, hospital observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8170 Old Carriage Ct Ste 100

Shakopee, MN 553793164

Telephone 9524283600
Fax 9524283636
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Shakopee, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -2.4 yrs vs City Avg
City Avg: 14.4 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Shakopee, MN (4026 Statewide)

Telehealth Adoption Rate
42.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mohamed (12 Years) 12 Yrs
Shakopee Specialty Average (14.4 Years) 14.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
18 18 $288.90 $72.69

Medical Specialties & State Licenses

CMS Verified: 2024-06-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 11720

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License MN 11720

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License MN 11720

Definition to come...

Hospital & Practice Group Affiliations

Fairview Health Services

201 E Nicollet Blvd, Burnsville, MN 553375714

Phone: 9528922085

Secondary Practice Locations

121 Drew Ave Se

Madelia, MN 560621841

Phone: 5076425200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Leslie Walters

Nurse Practitioner - Family

NPI 1194428391
NPI 1396107470

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Erika Johnson , FNP-BC

Nurse Practitioner - Family

NPI 1467998617

Family Nurse Practitioner (Board Certified)

NPI 1588197537

Doctor of Medicine (M.D.)

Jennifer Frost , PA

Physician Assistant

NPI 1750503611

Physician Assistant

Lisa Cunat , PA-C

Physician Assistant

NPI 1811939275

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 06, 2023

Registered at 8170 OLD CARRIAGE CT STE 100, SHAKOPEE, MN 553793164 (Tel: 9524283600)

📍
Updated Business Mailing Address December 06, 2023

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122629000)

NPI Profile Active December 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2014

Registered at 121 DREW AVE SE, MADELIA, MN 560621841 (Tel: 5076425200)

📍
Updated Business Mailing Address December 04, 2014

Registered at 3800 15TH AVE S, MINNEAPOLIS, MN 554072741 (Tel: 6129873927)

👤
Provider Name / Credentials Updated December 04, 2014

Recorded as IDIL MOHAMED, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2014

Physician Assistant (License #11720 in MN)

🟢
Initial NPI Registration & Enumeration December 04, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255738373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2014
Last Update: June 21, 2024
Sole Proprietor: No

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122629000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.