DANIELLE QUALLICH M.D.
NPI 1396122065
Pediatrics in Minneapolis, MN

Q: What is Danielle Quallich's NPI number?

The NPI number for Danielle Quallich is 1396122065. It was assigned to this individual provider in the NPPES registry on May 1, 2015. The provider is also known as Danielle Marie Richardson MD.

Q: What is Danielle Quallich's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Quallich was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since May 01, 2015PECOS Enrolled

2450 RIVERSIDE AVE, 1ST FLOOR EAST BUILDING, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2018, Mar 15, 2018, Feb 28, 2018 (3 updates tracked since 2018).

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About Danielle Quallich M.d. NPPES

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

DANIELLE QUALLICH M.D. (NPI 1396122065) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (63250) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1396122065

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDANIELLE QUALLICHCredential: M.D.

Location Address2450 RIVERSIDE AVE, 1ST FLOOR EAST BUILDINGMinneapolis, MN 55454

Mailing Address2450 Riverside Ave, 6th Floor East BuildingMinneapolis, MN 55454-1450 · (612) 624-4477

Phone(612) 624-4477

Sole ProprietorNo

Enumeration DateMay 1, 2015

Last NPPES UpdateJuly 3, 20183 updates tracked since enumeration

✔ NPI 1396122065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 63250

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Other Names 1

Former Name (1)Danielle Marie Richardson Md

Secondary Practice Location 1

Location 1451 Dunlap St NSaint Paul, MN 55104-4619 · Phone (651) 647-2200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Quallich M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Danielle Quallich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Health Services

Same address

General Acute Care Hospital

2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1316008212 (612) 273-7838

Group Health, Inc.

0.2 mi

Pediatric Dentistry

2220 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1700932449 (612) 371-1605

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner