ALLINA HEALTH LAKEVILLE SPECIALTY CENTER
NPI 1003683244
Internal Medicine in Lakeville, MN

NPI Status: Active since December 07, 2023

Contact Information

18465 ORCHARD TRL
LAKEVILLE, MN
ZIP 55044
Phone: (952) 428-0950

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 24D2288615
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 06-23-2026

About ALLINA HEALTH LAKEVILLE SPECIALTY CENTER

This page provides the complete NPI Profile along with additional information for Allina Health Lakeville Specialty Center, an internist established in Lakeville, Minnesota operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1003683244 assigned on December 2023. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Allina Health Lakeville Specialty Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Allina Health Lakeville Specialty Center. The authorized official of this NPI record is Dominica Tallarico (Coo)

NPI
1003683244
Provider Legal Name
ALLINA HEALTH SYSTEM
Other Organization Name
ALLINA HEALTH LAKEVILLE SPECIALTY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
18465 ORCHARD TRL LAKEVILLE, MN 55044
Location Phone
(952) 428-0950
Mailing Address
PO BOX 43, MAIL ROUTE 10585 MINNEAPOLIS, MN 55440
Mailing Phone
(612) 262-1166
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2023
Last Update Date
01-14-2025
Code Navigator

An internist like Allina Health Lakeville Specialty Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

 
2207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

 
3207RR0500XAllopathic & Osteopathic Physicians

Internal Medicine
Rheumatology

 
4207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
5208600000XAllopathic & Osteopathic Physicians

Surgery

 
62086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOMINICA TALLARICO

Authorized Official Title
COO
Authorized Official Phone
(612) 222-2222

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2288615
Facility Type
Community Clinic
Certificate Effective Date
June 24, 2024
Certificate Expiration Date
June 23, 2026
Laboratory Director
ERIK G. JENSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Allina Health Lakeville Specialty Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003683244, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 1 + 2 + 8 + 6 + 2 + 8 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003683244.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Specialist/Technologist (Athletic Trainer)
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Dermatology
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Physician Assistant
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Dermatology
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Physician Assistant
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Internal Medicine (Endocrinology, Diabetes & Metabolism)
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Physician Assistant
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Clinic/Center (Oncology)
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Physician Assistant
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Clinic/Center (Urgent Care)
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Nurse Practitioner (Adult Health)
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Physician Assistant
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Physician Assistant
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Specialist/Technologist (Athletic Trainer)
18465 ORCHARD TRL
LAKEVILLE, MN 55044
Obstetrics & Gynecology
18465 ORCHARD TRL
LAKEVILLE, MN 55044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003683244, enumerated as an "organization" on December 07, 2023.

The provider is located at 18465 ORCHARD TRL LAKEVILLE, MN 55044 and the phone number is (952) 428-0950.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.