Active NPI
Allina Health System
- Urgent Care Clinic/Center
- Minneapolis, MN
National Provider Identifier
1780467712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ALLINA HEALTH SYSTEM
- Practice address
- 2925 Chicago Ave
Minneapolis, MN 55407-1321 - Phone
- (651) 241-9700
- NPI assigned
- Aug 15, 2023
- 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
Other NPIs on the same Medicare enrollment 9
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Minneapolis, MN
- NPI 1083008072
O20171130000956, O20260219000048
-
- Clinic/Center
- Minneapolis, MN
- NPI 1649563321
O20171130000956, O20260219004682, O20260331003143, O20260401001824, O20260508002801
-
- Behavioral Neurology & Neuropsychiatry Physician
- Coon Rapids, MN
- NPI 1790286193
O20171130000956, O20260219000048, O20260219004682, O20260224000360, O20260331003143, O20260401001824, O20260401003686, O20260506002854, O20260508002801
-
- 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.
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.
-
- 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
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.