MIDWEST IMMUNOLOGY CLINICS, PLLC
NPI 1457417933
Allergy & Immunology in Plymouth, MN
NPI Status: Active since December 28, 2006
Contact Information
15655 37TH AVE N STE 250
PLYMOUTH, MN
ZIP 55446
Phone: (763) 316-0750
Fax: (616) 954-3410
- Organization
- Allergy & Immunology
- Accepts Insurance
- CLIA Number: 24D2304517
- CLIA Cert. Type: Other - OUT PATIENT INFUSION CTR
- CLIA Exp. Date: 05-13-2028
About MIDWEST IMMUNOLOGY CLINICS, PLLC
This page provides the complete NPI Profile along with additional information for Midwest Immunology Clinics, Pllc, a provider established in Plymouth, Minnesota operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1457417933 assigned on December 2006. The practitioner's primary taxonomy code is 207K00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The provider's
- NPI
- 1457417933
- Provider Legal Name
- MIDWEST IMMUNOLOGY CLINICS, PLLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 15655 37TH AVE N STE 250 PLYMOUTH, MN 55446
- Location Phone
- (763) 316-0750
- Location Fax
- (616) 954-3410
- Mailing Address
- 1726 COLE BLVD STE 250 LAKEWOOD, CO 80401
- Mailing Phone
- (855) 478-1528
- Mailing Fax
- (616) 954-3410
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2006
- Last Update Date
- 01-22-2026
- Code Navigator
Location Map
Secondary Locations
- 15655 37th Ave N Ste 260
Plymouth, MN 55446
(763) 316-0750 - 652 Bielenberg Dr Ste 101
Woodbury, MN 55125
(651) 867-1618
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
Allergy & Immunology
- Taxonomy Code
- 207K00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
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) |
|---|---|---|---|---|
| 1 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 2 | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center |
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
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 454847700 | MEDICAID (05) | MN | |
| 51B54MI | OTHER (01) | MN | BLUE CROSS BLUE SHIELD |
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
- 24D2304517
- Facility Type
- Other - OUT PATIENT INFUSION CTR
- Certificate Effective Date
- May 14, 2026
- Certificate Expiration Date
- May 13, 2028
- Laboratory Director
- JASON P. RAASCH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Midwest Immunology Clinics, Pllc 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 1457417933, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457417933, enumerated as an "organization" on December 28, 2006.
The provider is located at 15655 37TH AVE N STE 250 PLYMOUTH, MN 55446 and the phone number is (763) 316-0750.
Allergy & Immunology with taxonomy code 207K00000X.
The provider might be accepting Accepts: HealthPartners, Medica, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.
