Allina Health System
Organization Active NPI Internal Medicine Physician · New Ulm, MN
NPI 1992748966 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1992748966
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALLINA HEALTH SYSTEM
- Practice address
- 1324 5TH St N
New Ulm, MN 56073-1514 - Phone
- (507) 233-1344
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dominica Tallarico
- Title
- Coo
- Phone
- (612) 222-2222
Other NPIs on the same Medicare enrollment 5
Practitioners 145
-
Matthew G Abeln, M.D.
-
Jayasri Alapati, MD
-
Siobhan Esther Alexander, M.D.
-
Mevhibe Meral Atay, N.P., PHD
-
Leslie Nicole Avalos, APRN, CRNA
-
Rachel Margaret Bethke, AGNP-C
-
Angela M Bornino, ARNP
-
Michaela Marie Bremmer, CRNA, APRN
-
Stephen E Brown, CRNA
-
Thomas C. Bryson, MD
-
Becky Jo Burdick, PA-C
-
Sheldon R Burns, M.D.
-
Ying Chen, CRNA
-
Brian Conley, MD
-
Sarah Christina Cornell, PA-S
-
Jason Robert Darrah, M.D.
-
Jessica J Dehler, PA-C
-
Andrew Dickinson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040319000460 | MN | Part B Supplier - Clinic/Group Practice | 4587573613 |
Receives reassigned benefits from 4,246 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1324 5TH St N
New Ulm, MN 56073-1514
Mailing address
PO Box 43
Mail Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other names
- New Ulm Medical Center
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service | Other | Ciox Health |
Other providers in New Ulm, MN
- Allina Health System
- Allina Health System
- Allina Health System
- Allina Health System
- Allina Health System
- Ambassadors for Spiritual & Mental Wellness
- Elizabeth R Anderson-Elias
- Blane Ausen Anderson
- Brittany Lee Anderson
- Bryana Malner Andert
All providers in New Ulm, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.