Alfonso Morales-Utrilla Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37899 Issued in MN

Practice address

821 Raymond Ave Ste 230
Saint Paul, MN 55114-1503

Phone

(651) 644-6002

Fax

(651) 647-1647

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hopkins Health and Wellness Center PA

  • Chiropractor
  • Hopkins, MN
  • NPI 1396932067

  Family Medicine

  Medicare reassignment NPD
• Life Wellness Center, Inc.

  • General Practice Physician
  • Lakeville, MN
  • NPI 1083646889
  Medicare reassignment NPD
• Abria Detox LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Burnsville, MN
  • NPI 1437872660
  NPD (past)
• Lelwica Chiropractic

  • Chiropractor
  • Pequot Lakes, MN
  • NPI 1780851030
  NPD (past)
• Northstar Regional

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chaska, MN
  • NPI 1659764587
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1407901499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-644-6002",
            "fax_number": "651-647-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 RAYMOND AVE STE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141503",
            "telephone_number": "651-644-6002",
            "fax_number": "651-647-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-UTRILLA",
        "first_name": "ALFONSO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "37899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanora Moore, RN, LSN
• Steven Robert Moore, M.D.
• Zonita Moore
• Jacob James Mootz, D.C.
• Kristin L Moquist, CPNP
• Lee Morales, LICSW
• Eileen S Moran Griggs, NP
• George Morara
• Amber Sexe Moravec, DC
• Jade Makenzi Moravec, DPM

• Family Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.