ALLINA HEALTH SYSTEM
NPI 1861363756
Plastic Surgery in Plymouth, MN

Q: What is Allina Health System's NPI number?

The NPI number for Allina Health System is 1861363756. It was assigned to this organization in the NPPES registry on September 15, 2025. The provider is doing business as Allina Health Plastic Surgery Clinic - Plymouth.

Q: What is Allina Health System's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since September 15, 2025

2855 CAMPUS DR STE 610, PLYMOUTH, MN 55441(651) 241-6800(612) 863-7772 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Allina Health System NPPES

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

ALLINA HEALTH SYSTEM (NPI 1861363756), doing business as Allina Health Plastic Surgery Clinic - Plymouth, is a healthcare organization registered as a plastic surgery in Plymouth, Minnesota and active in the NPI registry since September 2025. The organization lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1861363756

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameALLINA HEALTH SYSTEM

Location Address2855 CAMPUS DR STE 610Plymouth, MN 55441-2683

Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166

Phone(651) 241-6800

Fax(612) 863-7772

Organization SubpartNo

Authorized OfficialDominica TallaricoCoo · (612) 222-2222

Enumeration DateSeptember 15, 2025

Last NPPES UpdateSeptember 30, 2025

NPPES CertifiedSeptember 30, 2025

✔ NPI 1861363756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

2855 CAMPUS DR STE 610, Plymouth, MN 55441

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Other Names 1

Doing Business AsAllina Health Plastic Surgery Clinic - Plymouth

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment 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).

Clinicians Billing Medicare Through This Organization

2,601

Medicare enrollment records show 2,601 clinicians reassign Medicare billing to Allina Health System, which bills Medicare for the services they deliver. Of these, 30 practice at this address and 219 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 61

Nurse Practitioner456

Family Practice446

Diagnostic Radiology317

Internal Medicine170

Clinical Social Worker134

Obstetrics/Gynecology132

Clinical Psychologist91

General Surgery70

53 other specialties785

Nearest to this location (20)

See all 2,601

Prakhya Bhatnagar, MD

Family Practice

NPI 1013470509

2855 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Vera Boateng, MD

Family Practice

NPI 1902415706

2855 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Won Suk Choi, MD

Family Practice

NPI 1114189289

2855 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Nadia Malik, M.D

Family Practice

NPI 1982851671

2855 CAMPUS DR
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Steve Dandrea, DC

Chiropractic

NPI 1578528493

2855 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7400

✔ Accepts MedicareSame address

Aditi Garg

Psychiatry

NPI 1992092993

2855 CAMPUS DR STE 660
Plymouth, MN 55441

(763) 577-7900

✔ PECOS✔ Accepts MedicareSame address

Laura Gorman, DNP, APRN, FNP-C

Nurse Practitioner

NPI 1578370847

2855 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Syed Hasan, MD

Internal Medicine

NPI 1841492188

2855 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Clare Herickhoff, M.D.

Psychiatry

NPI 1801259874

2855 CAMPUS DR STE 660
Plymouth, MN 55441

(763) 577-7900

✔ PECOS✔ Accepts MedicareSame address

Ronald Kaufman, M.D., PH.D.

Internal Medicine

NPI 1295734374

2855 CAMPUS DR SUITE 400
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Ethan Mccallum, PHD

Clinical Psychologist

NPI 1851703110

2855 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Brian Miller, MD

Internal Medicine

NPI 1427215433

2855 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Jyothsna Rayadurg, MBBS

Rheumatology

NPI 1881655975

2855 CAMPUS DR SUITE 400
Plymouth, MN 55441

(612) 577-7400

✔ PECOS✔ Accepts MedicareSame address

Alan Davis, LMFT

Marriage and Family Therapist

NPI 1386701274

2855 CAMPUS DR STE 660
Plymouth, MN 55441

(763) 577-7900

✔ PECOSSame address

Janelle Fuchs

Registered Dietitian or Nutrition Professional

NPI 1194970038

2805 CAMPUS DR STE 115
Plymouth, MN 55441

(763) 577-7800

✔ Accepts MedicareSame address

Annie Magnusson

Nurse Practitioner

NPI 1922949445

2805 CAMPUS DR STE 400
Plymouth, MN 55441

(763) 577-7000

✔ PECOS✔ Accepts MedicareSame address

Lana Abboud, PSYD, LP, MAC L.AC,

Clinical Psychologist

NPI 1316340128

2805 CAMPUS DR SUITE 115
Plymouth, MN 55441

(763) 577-7000

✔ PECOSSame address

Mark Houghland, MD

Cardiovascular Disease (Cardiology)

NPI 1104877059

2805 CAMPUS DR SUITE 305
Plymouth, MN 55441

(763) 577-7615

✔ PECOSSame address

Joycelin Lopez, AUD

Qualified Audiologist

NPI 1356956684

2805 CAMPUS DR STE 205
Plymouth, MN 55441

(763) 577-7200

✔ Accepts MedicareSame address

Emily Samborn, NP

Nurse Practitioner

NPI 1942664024

2805 CAMPUS DR STE 115
Plymouth, MN 55441

(763) 577-7800

✔ PECOS✔ Accepts MedicareSame address

See all 2,601 clinicians

Source: 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 1861363756. It was assigned to this organization in the NPPES registry on September 15, 2025. The provider is doing business as Allina Health Plastic Surgery Clinic - Plymouth.

Where is Allina Health System located?

Allina Health System is located at 2855 Campus Dr Ste 610, Plymouth, MN 55441. The listed phone number is (651) 241-6800.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Allina Health System enrolled in Medicare?

Yes. Allina Health System is registered in the Medicare PECOS enrollment system.

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, 30 practice at this address and 219 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Allina Health System was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.