NPIMap

Organization Active NPI

Allina Health System

  • Orthopaedic Surgery Physician
  • Edina, MN
National Provider Identifier
1508099656
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ALLINA HEALTH SYSTEM
Practice address
8100 W 78TH St Ste 230
Edina, MN 55439-2570
Phone
(952) 946-9777
NPI assigned
Aug 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Clinic/Center 261Q00000X

Addresses

Primary practice location

8100 W 78TH St Ste 230
Edina, MN 55439-2570

Mailing address

PO Box 43
Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166

Other practice location 1

6001 96th Ln N Ste 100
Brooklyn Park, MN 55445-4602
Phone (952) 946-9777

Other practice location 2

255 Smith Ave N Ste 210
Saint Paul, MN 55102-2518
Phone (952) 946-9777

Other practice location 3

225 Smith Ave N
Ste 200
St Paul, MN 55102-2697
Phone (651) 241-8920

Other practice location 4

2800 Chicago Ave Ste 400
Minneapolis, MN 55407-1352
Phone (952) 946-9777

Other practice location 5

310 Smith Ave N Ste 300
Saint Paul, MN 55102-2383
Phone (952) 946-9888

Other practice location 6

255 Smith Ave N
Ste 210
St Paul, MN 55102-2572
Phone (952) 946-9777

Other practice location 7

255 Smith Ave N, Ste 210
St Paul, MN 55102-2518
Phone (952) 946-9777

Other practice location 8

255 Smith Ave N
Ste 210
St Paul, MN 55102-2572
Phone (651) 241-8920

Other practice location 9

2805 Campus Dr Ste 465
Plymouth, MN 55441-2680
Phone (763) 577-7425

Other practice location 10

255 Smith Ave N
Ste 210
St Paul, MN 55102-2283
Phone (952) 946-9777

Other names 1

  • Allina Health Orthopedics Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20030505000007 MN Part A Provider - Hospital 4587573613 29 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20030505000052 MN Part A Provider - Hospital 4587573613 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: St Paul, MN; Woodbury, MN; Saint Paul, MN; Apple Valley, MN; Hastings, MN
O20040319000460 MN Part B Supplier - Clinic/Group Practice 4587573613 Receives reassigned benefits from 4,246 practitioners
This NPI is an additional NPI on the enrollment
O20221213001713 MN Part B Supplier - Clinic/Group Practice 4587573613 Receives reassigned benefits from 3,000 practitioners
This NPI is an additional NPI on the enrollment

Hospital certification: CCN 240057

Legal name
ALLINA HEALTH SYSTEM
Doing business as
ABBOTT NORTHWESTERN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 8, 1970
Last certification
Jan 4, 2018
Beds
996 (952 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
800 E 28TH St
Minneapolis, MN 55407-3723
Hospital subgroups
General, Acute care, Other

Hospital certification: CCN 240038

Legal name
ALLINA HEALTH SYSTEM
Doing business as
UNITED HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 1, 1973
Last certification
Oct 4, 2016
Beds
603
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 28, 1983 in MN
Enrollment address
333 Smith Ave N
St Paul, MN 55102-2344
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric, Rehabilitation

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 34

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 34

Care Compare: Hospital

Medicare Care Compare
Listed as
Allina United HospitalCCN 240038
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Hospital

Medicare Care Compare
Listed as
Abbott Northwestern HospitalCCN 240057
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 27

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Challis Lowe Individual Corporate DirectorBoard Member Jun 8, 2022
Corporate Director Jun 8, 2022
John Richard Church Individual Corporate DirectorBoard Member Sep 9, 2021
Laura Jean Gillund Individual Corporate DirectorBoard Member Jun 10, 2015
Amy L Ronneberg Individual Corporate DirectorBoard Member Dec 1, 2020
Daniel Thomas O'Laughlin Individual Corporate DirectorBoard Member Jan 1, 2022
Maykao Y Hang Individual Corporate DirectorBoard Member Jun 13, 2019
David Allan Joos Individual Corporate OfficerPresident Apr 20, 2022
Corporate OfficerSenior VP Oct 1, 2025
Brian McGrane Individual Corporate DirectorBoard Member Jun 14, 2024
Marna Borgstrom Individual Corporate DirectorBoard Member Jun 13, 2025
Jennifer Soo Alstad Individual Corporate DirectorBoard Member Jun 10, 2016
Shari L Ballard Individual Corporate DirectorBoard Member Jun 10, 2020
Timothy Aloysius Welsh Individual Corporate DirectorBoard Member Dec 1, 2017
Vicki Rasmusen Individual Corporate DirectorBoard Member Jun 13, 2019
Debbra Schoneman Individual Corporate DirectorBoard Member Jun 13, 2013
Corporate DirectorBoard of Directors Jun 13, 2013
James Kolar Individual Corporate DirectorBoard Member Sep 13, 2024
Lisa Shannon Individual Corporate DirectorPresident and Ceo Jan 1, 2022
Shawn M Ulreich Individual Corporate DirectorBoard Member Sep 13, 2023
Chanda L Baker Individual Corporate DirectorBoard Member Feb 20, 2024
Melinda Estes Individual Corporate DirectorBoard Member Jun 13, 2025
Louis Julius King Individual Corporate DirectorBoard Member Jun 12, 2017
Ruth Evelyn Williams-Brinkley Individual Corporate DirectorBoard Member Sep 13, 2023
Patricia W Schirmers Individual W-2 Managing EmployeeDirector Reimbursement May 5, 2003
W-2 Managing EmployeeDirector Reimbursement Oct 28, 1985
Barbara a Butts Williams Individual Corporate DirectorBoard Member Jun 10, 2015
Thomas S Schreier Individual Corporate DirectorBoard Member Mar 12, 2014
Corporate DirectorBoard of Directors Mar 12, 2014
Dominica Marie Tallarico Individual Corporate OfficerCoo Mar 11, 2024
Roger Scott Newcome Individual W-2 Managing EmployeeManager Reimbursement May 6, 2016
Corporate DirectorManager May 6, 2016
W-2 Managing EmployeeManager May 6, 2016
Jill Ostrem Individual Corporate OfficerPresident Mar 21, 2022 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 56

Affiliated clinicians 3,697

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 3,697

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1508099656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "address_2": "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": "8100 W 78TH ST STE 230",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392570",
            "telephone_number": "952-946-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 96th Ln N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554454602",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Smith Ave N Ste 210",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022518",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Smith Ave N",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "St Paul",
            "state": "MN",
            "postal_code": "551022697",
            "country_code": "US",
            "telephone_number": "651-241-8920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Chicago Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071352",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Smith Ave N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022383",
            "country_code": "US",
            "telephone_number": "952-946-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Smith Ave N",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "St Paul",
            "state": "MN",
            "postal_code": "551022572",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Smith Ave N, Ste 210",
            "address_purpose": "LOCATION",
            "city": "St Paul",
            "state": "MN",
            "postal_code": "551022518",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Smith Ave N",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "St Paul",
            "state": "MN",
            "postal_code": "551022572",
            "country_code": "US",
            "telephone_number": "651-241-8920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2805 Campus Dr Ste 465",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554412680",
            "country_code": "US",
            "telephone_number": "763-577-7425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Smith Ave N",
            "address_2": "Ste 210",
            "address_purpose": "LOCATION",
            "city": "St Paul",
            "state": "MN",
            "postal_code": "551022283",
            "country_code": "US",
            "telephone_number": "952-946-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "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": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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"
        },
        {
            "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": "Allina Health Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allina Health Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.