Allina Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALLINA HEALTH SYSTEM

Doing business as

Allina Health Fridley Clinic

Practice address

500 Osborne Rd NE Ste 150
Fridley, MN 55432-2770

Phone

(763) 786-6011

Fax

(763) 236-2505

NPI assigned

Feb 2, 2011

Last updated

Feb 26, 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 Fridley Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 72

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.

• Jayasri Alapati, MD

  • Neurology Physician
  • Coon Rapids, MN
  • NPI 1043565757
  NPD
• Miranda Amaris, MIRANDA

  • Psychologist
  • Saint Paul, MN
  • NPI 1669555314
  NPD
• Todd M Arsenault, MD

  • Diagnostic Radiology Physician
  • Roseville, MN
  • NPI 1902890726
  NPD
• Jennifer Asanovich, LPC

  • Professional Counselor
  • Cambridge, MN
  • NPI 1841030400
  NPD
• Ambareesh Bajpai, M.D.

  • Cardiovascular Disease Physician
  • Saint Paul, MN
  • NPI 1922279256
  NPD
• Justin J Baker, MD

  • Surgery Physician
  • Saint Paul, MN
  • NPI 1366523417
  NPD
• Kamil Bober

  • Orthopaedic Surgery Physician
  • Saint Paul, MN
  • NPI 1750772752
  NPD
• Nathaniel Smith Bowler, MD

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1417908146
  NPD
• Terence P Cahill, M.D

  • Family Medicine Physician
  • Faribault, MN
  • NPI 1396745022
  NPD
• Sarah Margaret Campbell, DO

  • Psychiatry Physician
  • Fridley, MN
  • NPI 1538789631
  NPD
• Luis Felipe Carrazana Suarez, M.D.

  • Orthopaedic Surgery Physician
  • Saint Paul, MN
  • NPI 1669859989
  NPD
• Albert H Chiu, D.O.

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1073802526
  NPD

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1912203365",
    "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": "500 OSBORNE RD NE STE 150",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322770",
            "telephone_number": "763-786-6011",
            "fax_number": "763-236-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLINA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 Fridley Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allina Health Fridley Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allina Health System (Allina Health Mental Health - Mercy Hospital, Unity Campus)
• Allina Health System (Mercy Hospital)
• Allina Health System (Ambulatory Clinic - Mercy Hospital, Unity Campus)
• Allina Health System (Unity Hospital Doctors UHD)
• Allina Health System (Allina Health Unity Pharmacy)
• Allina Hopsital and Clinics
• Alicia Marie Alvarado, OD
• American Transportation Inc
• Amoud Center Inc
• Alina Amunrud

• Family Medicine Physician in Fridley, MN
• Providers in Fridley, 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 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.