Allina Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALLINA HEALTH SYSTEM

Doing business as

Allina Health Uptown Clinic

Practice address

1221 W Lake St
Suite 201
Minneapolis, MN 55408

Phone

(612) 824-1772

Fax

(612) 821-4799

NPI assigned

Jan 27, 2011

Last updated

Feb 24, 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

• Allina Health Uptown Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN3 enrollments

Enrollment records 3

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 38

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.

• Abdelwahaab Akef, M.D.

  • Cardiovascular Disease Physician
  • Minneapolis, MN
  • NPI 1558309542
  NPD
• Azhar T. Ali, MBBS

  • Diagnostic Radiology Physician
  • Roseville, MN
  • NPI 1538187786
  NPD
• Bryan Bader, APRN

  • Nurse Practitioner
  • Saint Paul, MN
  • NPI 1407236292
  NPD
• Natasha Marie Benkovich, PA-C

  • Physician Assistant
  • Saint Paul, MN
  • NPI 1336524826
  NPD
• Douglas M Berg, MD

  • Family Medicine Physician
  • Cambridge, MN
  • NPI 1689622342
  NPD
• Alicia Cain, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1801259015
  NPD
• Daniel Keith Cantwell, D.O.

  • Plastic Surgery Physician
  • Coon Rapids, MN
  • NPI 1568675387
  NPD
• Sambath Cheath, FNP-C

  • Family Nurse Practitioner
  • Sandstone, MN
  • NPI 1245793132
  NPD
• Christopher J Church, PA

  • Physician Assistant
  • Faribault, MN
  • NPI 1417022690
  NPD
• Teresa Jane Devine, MD

  • Family Medicine Physician
  • Monticello, MN
  • NPI 1255771911
  NPD
• John P Emmel, MD

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1598116352
  NPD
• Caromyr Figueroa Silvestrini, MD

  • Psychiatry Physician
  • Fridley, MN
  • NPI 1336248277
  NPD

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1508162249",
    "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": "1221 W LAKE ST",
            "address_2": "SUITE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408",
            "telephone_number": "612-824-1772",
            "fax_number": "612-821-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "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": "esmd.cioxhealth.com and OID is '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 Uptown Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allina Health Uptown Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allina Health System (Allina Health Isles Clinic)
• Allina Health System (Abbott Northwestern Wound Clinic)
• Allina Health System (Allina Health Virtual Primary Care Clinic)
• Allina Health System (Allina Health Compounding Pharmacy)
• Allina Health System (Abbott Northwestern Specialty Clinic)
• Allina Health System (Abbott Northwestern Hospital Plastic Surgery Services)
• Allina Health System (Minnesota Perinatal Physicians)
• Allina Health System
• Allina Health System (Allina Health Non-Hospice Palliative Care)
• Allina Health System (Allina Health Anesthesiologist and CRNA)

• Family Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, 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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.