Allina Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALLINA HEALTH SYSTEM

Doing business as

Allina Health Eagan Clinic

Practice address

1110 Yankee Doodle Rd
Eagan, MN 55121

Phone

(651) 454-3970

Fax

(651) 241-0059

NPI assigned

Jan 27, 2011

Last updated

Feb 25, 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 Eagan 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

Medicare medical equipment & supply 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 52

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.

• Ikraan A Abdulle, CNP

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1649874371
  NPD
• Eseoghene Abokede, M.D

  • Family Medicine Physician
  • Burnsville, MN
  • NPI 1780027938
  NPD
• Siobhan Esther Alexander, M.D.

  • Diagnostic Radiology Physician
  • Roseville, MN
  • NPI 1871988394
  NPD
• Christina Marie Braatz, MSN, RN, CNP

  • Family Nurse Practitioner
  • Eden Prairie, MN
  • NPI 1598759193
  NPD
• Arnold Chung Wai Cheung, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
  • NPI 1629282884
  NPD
• Ellie Michelle Cohen, M.D.

  • Surgery Physician
  • Northfield, MN
  • NPI 1134562481
  NPD
• Kelly Connolly, LICSW

  • Social Worker
  • Coon Rapids, MN
  • NPI 1487381091
  NPD
• Ava Sharon Crowley, PA-C

  • Physician Assistant
  • Minneapolis, MN
  • NPI 1437976057
  NPD
• Ryan Cusic, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
  • NPI 1699091686
  NPD
• Laura Elizabeth Dang, PA-C

  • Physician Assistant
  • Bloomington, MN
  • NPI 1568098812
  NPD
• Kristin R Davis, MD

  • Pediatrics Physician
  • Coon Rapids, MN
  • NPI 1518929041
  NPD
• Julie A Donahue, NP

  • Family Medicine Physician
  • Faribault, MN
  • NPI 1184686446
  NPD

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1780980599",
    "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": "1110 YANKEE DOODLE RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-454-3970",
            "fax_number": "651-241-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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"
        }
    ],
    "other_names": [
        {
            "organization_name": "Allina Health Eagan Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alliance Health Services Inc. (Alliance Health Services - PHN)
• Alliance Health SVCS Fiscal Support
• Alliance Medical Supply
• Alliance Music Therapy, LLC
• Allina Health System (Allina Health Eagan Women's Health Clinic)
• Jennifer Irene Almanza, CNM, RN, PHN
• Alula Home Health LLC
• Chinenye Amadi
• Kelly Aman, PHARM.D
• American Current Care of Minnesota PC (Concentra Urgent Care)

• Family Medicine Physician in Eagan, MN
• Providers in Eagan, 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 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.
• 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.