Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fadumo Hassan Ismail

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336862408

Fadumo Hassan Ismail is a Physician Assistant in Edina, Minnesota. Graduated from Emory University School of Medicine in 2024, 2 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Minnesota.

Years since qualifying
2
Trained at
Emory University School of Medicine
Licensed in
GA, MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

6545 France Ave S
Edina, MN 55435-2131
Phone: (952) 848-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1462 Clifton Rd Ne Ste 280, Atlanta, GA 30322-1063 — (404) 727-7825

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14972 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (GA)

Record details

NPI number1336862408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Edina