ALLINA HEALTH SYSTEM
NPI 1407546872
Family Medicine in Lakeville, MN
About Allina Health System NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALLINA HEALTH SYSTEM (NPI 1407546872), doing business as Allina Health Lakeville North Clinic, is a healthcare organization registered as a family medicine in Lakeville, Minnesota and active in the NPI registry since May 2023. The organization lists Dominica Tallarico, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Allina Health System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2,601Medicare enrollment records show 2,601 clinicians reassign Medicare billing to Allina Health System, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 79 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 61
Nearest to this location (20)
See all 2,601Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1407546872. It was assigned to this organization in the NPPES registry on May 10, 2023. The provider is doing business as Allina Health Lakeville North Clinic.
Where is Allina Health System located?
Allina Health System is located at 17489 Dodd Blvd, Lakeville, MN 55044. The listed phone number is (952) 428-1020.
What is Allina Health System's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Allina Health System enrolled in Medicare?
Yes. Allina Health System is registered in the Medicare PECOS enrollment system.
When is Allina Health System's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Multi-Specialty - Physician) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Allina Health System?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,601 clinicians in 61 Medicare specialties reassign their Medicare billing to Allina Health System. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (456), Family Practice (446) and Diagnostic Radiology (317). Of these, 9 practice at this address and 79 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Allina Health System accept?
Health plans from HealthPartners 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 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Allina Health System · NPI 1407546872
Family Medicine organization in Lakeville, Minnesota. Organization record, active in the CMS NPPES registry since May 10, 2023.
## Identity
- **NPI:** 1407546872 (Entity type: Organization)
- **Enumerated:** May 10, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Allina Health Lakeville North Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dominica Tallarico, COO
## Practice location
- **Address:** 17489 DODD BLVD, Lakeville, MN 55044-4409
- **Phone:** (952) 428-1020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (DME, Minnesota, Multi-Specialty - Physician) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2,601 clinicians in 61 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (456), Family Practice (446), Diagnostic Radiology (317); 9 practice at this address and 79 within 10 miles; [full list](https://npiprofile.com/npi/1407546872/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1407546872) · Data from the CMS NPPES public registry.