ROULA ALTISHEH M.D
NPI 1609132125
Allergy & Immunology in Saint Paul, MN

Q: What is Roula Altisheh's NPI number?

The NPI number for Roula Altisheh is 1609132125. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Q: What is Roula Altisheh's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Roula Altisheh was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment

401 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-7560 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 19, 2024, Aug 17, 2019, Mar 31, 2016 (3 updates tracked since 2016).

On this page

About Roula Altisheh M.d NPPES

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

ROULA ALTISHEH M.D (NPI 1609132125) is an individual allergy & immunology provider in Saint Paul, Minnesota, licensed in Minnesota (73925) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1609132125

Entity TypeIndividualFemale

Primary Taxonomy207K00000X

Provider Legal NameROULA ALTISHEHCredential: M.D

Location Address401 PHALEN BLVDSaint Paul, MN 55130-5302

Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516

Phone(651) 254-7560

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 10, 2012

Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2024

✔ NPI 1609132125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

Licenses✔ Licensed in MN · 73925✔ Licensed in OH · 35.134068

Definition

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.

401 PHALEN BLVD, Saint Paul, MN 55130

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11501 N Campbell Ave, Room 2342Tucson, AZ 85724-0001 · Phone (520) 626-8309 · Fax (520) 626-1876

Location 29500 Euclid AveCleveland, OH 44195 · Phone (216) 445-5810 · Fax (216) 445-5813

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Roula Altisheh M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608178058

PECOS Enrollment IDI20240716000990

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services16 patients

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.

ANDREA LANGEVELD

Dermatology