ABDI SHAKUR MOHAMED ALI — NPI 1477468387 (Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in OSHKOSH, WI)

CMS-1500 Box 24J / 33a • NPI

1477468387

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

320900000X

Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Box 32 Service Location & ZIP+4

3850 PARKVIEW CT, OSHKOSH, WI, 54901-8103

✓ 9-Digit EDI 837 ZIP+4 (54901-8103)

Practice Phone & Referral Fax

(353) 200-2756

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477468387 (ABDI SHAKUR MOHAMED ALI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477468387` (NPI-1 Individual Practitioner)
Provider / Legal Name	ABDI SHAKUR MOHAMED ALI
Plain-English Specialty	Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities NUCC Code: `320900000X` (Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3850 PARKVIEW CT, OSHKOSH, WI, 54901-8103
Practice Telephone / Fax	Tel: (353) 200-2756
Administrative Mailing Address	3850 PARKVIEW CT, OSHKOSH, WI, 54901-8103
Enumeration & Last Sync	Enumerated: 2026-08-17 \| CMS Record Updated: 2026-08-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3850 PARKVIEW CT, OSHKOSH, WI, 54901-8103

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Plain-English Taxonomy & CMS Crosswalk (320900000X)

What Does Taxonomy Code 320900000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320900000X translates to:
"Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABDI SHAKUR MOHAMED ALI)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`320900000X` — Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABDI SHAKUR MOHAMED ALI (NPI #1477468387)