Active NPI
Allina Health System
Doing business as Allina Health On Demand Virtual Visits KeyCare
- Urgent Care Clinic/Center
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ALLINA HEALTH SYSTEM
- Doing business as
- Allina Health On Demand Virtual Visits KeyCare
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (651) 241-9700
- NPI assigned
- Aug 15, 2023
- Last updated
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2925 Chicago Ave
Minneapolis, MN 55407-1321
Mailing address
PO Box 43
Mail Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other names 1
- Allina Health On Demand Virtual Visits KeyCare
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 FL, MN, CO, MS, TX, PA, NC, NV, HI, TN, GA, OR, VA, OH, NJ
Enrollment records 15
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171130000956 | FL | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Inlet Beach, FL; West Palm Beach, FL; Temple Terrace, FL; Orlando, FL; Miramar, FL; Minneola, FL; Melbourne, FL; Largo, FL… |
| 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 |
| O20260219000048 | CO | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boulder, CO; Salida, CO; Grand Junction, CO |
| O20260219002648 | MS | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner Practice locations: Olive Branch, MS |
| O20260219004682 | TX | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 5 practitioners 4 other NPIs on this enrollment Practice locations: Cypress, TX; Temple, TX; Richmond, TX; McKinney, TX; Katy, TX; Houston, TX; Cedar Park, TX; Austin, TX… |
| O20260224000360 | PA | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Camp Hill, PA; Lititz, PA |
| O20260224000403 | NC | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner Practice locations: Holly Springs, NC |
| O20260225004127 | NV | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
| O20260311001728 | HI | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner Practice locations: Ewa Beach, HI; Honolulu, HI |
| O20260331003143 | TN | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment Practice locations: Nashville, TN; Hermitage, TN; Chattanooga, TN; Columbia, TN |
| O20260401001824 | GA | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment Practice locations: Atlanta, GA; Barnesville, GA; Gainesville, GA; Snellville, GA |
| O20260401003686 | OR | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beaverton, OR; Tigard, OR |
| O20260506002854 | VA | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment Practice locations: Leesburg, VA; Penn Laird, VA |
| O20260508002801 | OH | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Westlake, OH; Sugarcreek, OH; Frazeysburg, OH; North Canton, OH; Dublin, OH |
| O20260513003418 | NJ | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 1 practitioner Practice locations: Haddonfield, NJ |
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Allina Health Hospital Services
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1083008072
O20171130000956, O20260219000048
-
dba Allina Health Assessment and Referral
- Social Worker
- Minneapolis, MN
- NPI 1114479920
O20171130000956
-
dba Abbott Northwestern Wound Clinic
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1407893936
O20171130000956
-
dba New Ulm Medical Center
- Family Medicine Physician
- New Ulm, MN
- NPI 1619911658
O20260219000048
-
dba Allina Health Professional Services
- Clinic/Center
- Minneapolis, MN
- NPI 1649563321
O20171130000956, O20260219004682, O20260331003143, O20260401001824, O20260508002801
-
dba Telepsychiatry Services
- Behavioral Neurology & Neuropsychiatry Physician
- Coon Rapids, MN
- NPI 1790286193
O20171130000956, O20260219000048, O20260219004682, O20260224000360, O20260331003143, O20260401001824, O20260401003686, O20260506002854, O20260508002801
-
dba Allina Health TeleRheumatology
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
O20260219004682
-
dba New Ulm Medical Center
- Internal Medicine Physician
- New Ulm, MN
- NPI 1992748966
O20260219000048
-
dba River Falls Professional Services
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
O20171130000956, O20260219000048, O20260219004682, O20260331003143, O20260401003686, O20260508002801
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Regina Specialty Services
- Internal Medicine Physician
- Hastings, MN
- NPI 1881118149
Member Of
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St Francis Regional Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (47.5%) | Nov 15, 2007 |
| Courage Kenny Rehabilitation Institute TRP | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2013 Jun 1, 2013 |
| Allina Health Restorative Suites | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 10, 2022 |
Practitioners & affiliated clinicians
Practitioners 30
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.
-
- Family Nurse Practitioner
- Round Rock, TX
- NPI 1619328531
-
- Internal Medicine Physician
- North Las Vegas, NV
- NPI 1730166091
-
- Sports Medicine (Family Medicine) Physician
- Virginia Beach, VA
- NPI 1841602729
NC
-
- Family Medicine Physician
- Hot Springs, VA
- NPI 1861785982
-
- Nurse Practitioner
- Tomball, TX
- NPI 1528566098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1780467712",
"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": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "651-241-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLINA HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-15",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"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": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"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": "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 On Demand Virtual Visits KeyCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Allina Health On Demand Virtual Visits KeyCare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
- Allina Health System (Allina Health Piper Building Pharmacy)
- Allina Health System (Neurosurgical Associates)
- Allina Health System (Allina Health Lung and Sleep Minneapolis)
- Allina Health System (Abbott Northwestern Hospital)
- Allina Health System (Abbott Northwestern Hospital)
- Allina Health System (Allina Health Cancer Institute - Piper Breast Center - Minneapolis)
- Allina Health System (Women's Health Consultants)
- Allina Health System (The Center for Provider Well-Being)
- Allina Health System (Allina Health Hospice & Palliative Care)
- Allina Health System (Allina Health Surgical Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.