The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-02

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nebraska State Medical Licensing Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

👤

Provider Name / Credentials Updated May 02, 2025

Recorded as ABDIAZIZ SHUKRI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2025

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

✅

NPI Profile Active February 27, 2025

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) February 27, 2025

Registered at 5022 S 114TH ST, OMAHA, NE 681372329 (Tel: 4026300018)

📍

Business Mailing Address (Initial Record) February 27, 2025

Registered at 5022 S 114TH ST, OMAHA, NE 681372329 (Tel: 4026300018)

👤

Provider Name / Credentials (Initial Record) February 27, 2025

Recorded as ABDAZIZ SHUKRI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2025

Day Training/Habilitation Specialist

🟢

Initial NPI Registration & Enumeration February 27, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255138111

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 27, 2025

Last Update: May 02, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5022 S 114th St

Omaha, NE 681372329

Phone: 4026300018

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.