ALLINA HEALTH MAPLEWOOD CLINIC
NPI 1144526930
Family Medicine in Maplewood, MN

NPI Status: Active since January 27, 2011

Contact Information

1850 BEAM AVE
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 241-9500
Fax: (651) 770-8834

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  • Organization
  • Family Medicine
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 24D0399326
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 09-21-2026

About ALLINA HEALTH MAPLEWOOD CLINIC

This page provides the complete NPI Profile along with additional information for Allina Health Maplewood Clinic, a primary care provider established in Maplewood, Minnesota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1144526930 assigned on January 2011. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Allina Health Maplewood Clinic 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 Maplewood Clinic. The authorized official of this NPI record is Dominica Tallarico (Coo)

NPI
1144526930
Provider Legal Name
ALLINA HEALTH SYSTEM
Other Organization Name
ALLINA HEALTH MAPLEWOOD CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1850 BEAM AVE MAPLEWOOD, MN 55109
Location Phone
(651) 241-9500
Location Fax
(651) 770-8834
Mailing Address
PO BOX 43 MAIL ROUTE 10585 MINNEAPOLIS, MN 55440
Mailing Phone
(612) 262-1166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2011
Last Update Date
01-15-2025
Code Navigator

A primary care provider (PCP) like Allina Health Maplewood Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Allina Health Maplewood Clinic is a medicare supplier with PTAN 20678459 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Canes and/or Crutches or Walkers or Wheelchairs (Standard Manual) or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Prosthetic Lenses: Conventional Contact Lenses.

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

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.

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

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20678459
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Provider Type List
PHYSICIAN – UNKNOWN PHYSICIAN SPECIALTY.
Competitive Bidding
NO

Supplies List

  • 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
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses

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
24D0399326
Facility Type
Community Clinic
Certificate Effective Date
September 22, 2024
Certificate Expiration Date
September 21, 2026
Laboratory Director
DR. YIANG HUI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Allina Health Maplewood Clinic 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 1144526930, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
0
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 4 → 8 5 → 10 → 1 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 1 + 0 + 2 + 1 + 2 + 9 + 6 + 24 = 60

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

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

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1144526930.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
1850 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner (Adult Health)
1850 BEAM AVE
MAPLEWOOD, MN 55109
Family Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Pediatrics
1850 BEAM AVE
MAPLEWOOD, MN 55109
Pediatrics
1850 BEAM AVE
MAPLEWOOD, MN 55109
Pediatrics
1850 BEAM AVE
MAPLEWOOD, MN 55109
Family Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner (Women's Health)
1850 BEAM AVE
MAPLEWOOD, MN 55109
Optometrist
1850 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
1850 BEAM AVE
SAINT PAUL, MN 55109
Family Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Internal Medicine
1850 BEAM AVE
MAPLEWOOD, MN 55109
Obstetrics & Gynecology
1850 BEAM AVE
MAPLEWOOD, MN 55109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144526930, enumerated as an "organization" on January 27, 2011.

The provider is located at 1850 BEAM AVE MAPLEWOOD, MN 55109 and the phone number is (651) 241-9500.

Family Medicine with taxonomy code 207Q00000X.