Allina Health System

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ALLINA HEALTH SYSTEM

Doing business as

Metropolitan Heart & Vascular Institute

Practice address

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568

Phone

(763) 427-9980

NPI assigned

Oct 2, 2007

Last updated

Jan 22, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dominica Tallarico

Title

Coo

Phone

(612) 222-2222

Specialties & licenses 2

Addresses

Other names 1

• Metropolitan Heart & Vascular Institute Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Chiou, M.D.

  • Family Medicine Physician
  • Cottage Grove, MN
  • NPI 1750648671
  NPD
• Abbe Dale, LICSW

  • Clinical Social Worker
  • Annandale, MN
  • NPI 1265098347
  NPD
• Joseph Gossman, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1538432703
  NPD
• Steven Paul Hanovich, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Fridley, MN
  • NPI 1811099419
  NPD
• Katherine Margaret Hirsch, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Coon Rapids, MN
  • NPI 1891478046
  NPD
• Steven J Kern, MD

  • Surgery Physician
  • Maple Grove, MN
  • NPI 1922073428
  NPD
• Yasemin Koksel, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
  • NPI 1922659028
  NPD
• Amy K. Krie, M.D.

  • Medical Oncology Physician
  • Minneapolis, MN
  • NPI 1083648075
  NPD
• Kirsten Lasley, DO

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1588293260
  NPD
• Jorge A Leon, MD

  • Vascular & Interventional Radiology Physician
  • Roseville, MN
  • NPI 1013996065
  NPD
• Carol Lu, MD

  • Internal Medicine Physician
  • Maplewood, MN
  • NPI 1902986698
  NPD
• Ian-James Malm, M.D.

  • Otolaryngology Physician
  • Saint Paul, MN
  • NPI 1790056604
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1366639460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "MAIL ROUTE 10585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-262-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 COON RAPIDS BLVD NW STE 120",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334568",
            "telephone_number": "763-427-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Osborne Rd NE",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554322718",
            "country_code": "US",
            "telephone_number": "763-427-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Catlin St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131947",
            "country_code": "US",
            "telephone_number": "763-427-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "TALLARICO",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "612-222-2222"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.6635.1.1",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "925 N Point Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300055210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Metropolitan Heart & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metropolitan Heart & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allina Health System (Mercy Hospital)
• Allina Health System (Allina Health Coon Rapids Pharmacy)
• Allina Health System (Allina Health Brain and Spine Institute - Coon Rapids)
• Allina Health System (Allina Health Coon Rapids Clinic)
• Allina Health System (Mercy Hospital)
• Allina Health System (Allina Health Home Infusion Therapy Services)
• Allina Health System (Minnesota Perinatal Physicians - Mercy)
• Allina Health System (Hpriverway Hospitalist)
• Allina Health System (Midwest Internal Medicine)
• Allina Health System (Allina Health Mercy General Surgery Clinic)

• Cardiovascular Disease Physician in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Cardiovascular Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.