1. Home
  2. Directory
  3. Minnesota
  4. Bloomington
  5. Family Medicine
  6. NPI Profile

ALLINA HEALTH BLOOMINGTON CLINIC
NPI 1013213891
Family Medicine in Bloomington, MN

Active since January 27, 2011CLIA 24D0402517 · Waiver
7920 OLD CEDAR AVE S, BLOOMINGTON, MN 55425(952) 428-1800(952) 428-1723 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2023, Aug 31, 2020, Nov 22, 2019 and 2 more (5 updates tracked since 2018).

About Allina Health Bloomington Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLINA HEALTH BLOOMINGTON CLINIC (NPI 1013213891) is a healthcare organization registered as a family medicine in Bloomington, Minnesota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1013213891
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address7920 OLD CEDAR AVE SBloomington, MN 55425-1207
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Phone(952) 428-1800
Fax(952) 428-1723
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateJanuary 27, 2011
Last NPPES UpdateJanuary 14, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1013213891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/CenterTaxonomy 261Q00000X
7920 OLD CEDAR AVE S, Bloomington, MN 55425
Open in Google Maps ↗

Other Names 1

Doing Business AsAllina Health Bloomington Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0402517

Allina Health Bloomington Clinic · Bloomington, MN
Active · expires Sep 22, 2026
CLIA Number24D0402517
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorParry H. Dilworth
Laboratory Phone(952) 428-1783
Laboratory LocationAllina Health Bloomington Clinic7920 Old Cedar Ave S, Bloomington, MN 55425
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Allina Health Bloomington Clinic carries, from the Medicare DMEPOS supplier directory.

Allina Health Bloomington Clinic

DMEPOS supplier · Bloomington, MNOperated by Allina Health System
✔

Accepts Medicare assignment

Allina Health Bloomington Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20678597
Medicare Participant SinceOctober 1, 1984
Supplier Location7920 Old Cedar Ave SBloomington, MN 55425
Phone(952) 428-1800
Provider TypeMulti-Specialty - Physician
Supplier Specialties
Optometrist

Medicare Product Categories

Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Wheelchairs (Standard Manual)
Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIA BRADEN REITZ AU.D.
Audiologist-Hearing Aid Fitter
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (952) 428-1800
CONSTANCE CRANE MD
Internal Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (952) 851-1000
DR. FERNANDA GIASSI RIBAS MD
Family Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (952) 428-1800
LINDA EELKEMA MD
Pediatrics
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (952) 851-1000
WILLIAM SHAFFER MD
Internal Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (952) 428-1800
RANDY KIMPELL MD
Internal Medicine
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (952) 851-1000
KATELYNNE DEAL PA-S
Physician Assistant
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (952) 428-1800
DR. JACKIE ENGEBRETSON PHD, LP
Psychologist
7920 OLD CEDAR AVE S
BLOOMINGTON, MN 55425
Hennepin County (952) 428-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allina Health System's NPI number?

The NPI number for Allina Health System is 1013213891. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health Bloomington Clinic.

Where is Allina Health System located?

Allina Health System is located at 7920 Old Cedar Ave S, Bloomington, MN 55425. The listed phone number is (952) 428-1800.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Allina Health System accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Allina Health Bloomington Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Allina Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0402517) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allina Health System accept?

Health plans from HealthPartners and Medica list Allina Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allina Health System was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.