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

Noussaiba Ayour, PA-C

Individual provider Medical Physician Assistant · NPI 1821616764

Noussaiba Ayour, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Diamond Lake Clinic, PC, a 12-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Minnesota and Wisconsin.

Years since qualifying
4
Licensed in
FL, MN, WI
In the registry since
2020
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

5939 Portland Ave
Minneapolis, MN 55417-3127
Phone: (612) 869-4444
Fax: (612) 254-8244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 — (952) 607-0217
  • 14369 Fairway Dr, Eden Prairie, MN 55344-1956 — (952) 607-0217
  • 1821 University Ave W Ste 107-12, Saint Paul, MN 55104-0049 — (952) 607-0217
  • 2921 Landmark Pl Ste 215, Madison, WI 53713-4248 — (952) 607-0217

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 8197-23 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 14582 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TPPA755 (FL)

Record details

NPI number1821616764
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2020
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Diamond Lake Clinic, P.C. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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