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DR. WALID MAALOULI M.D.
NPI 1912079609
Pediatrics - Adolescent Medicine in Minneapolis, MN

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
2450 RIVERSIDE AVE # AO-301, MINNEAPOLIS, MN 55454(612) 626-5451(612) 626-1144 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Walid Maalouli M.d. NPPES

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

DR. WALID MAALOULI M.D. (NPI 1912079609) is an individual adolescent medicine provider in Minneapolis, Minnesota, licensed in Minnesota (43201) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1912079609
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. WALID MAALOULICredential: M.D.
Location Address2450 RIVERSIDE AVE # AO-301Minneapolis, MN 55454-1450
Mailing Address3652 Robin LnEagan, MN 55122-1156 · (516) 485-1591 · Fax (651) 493-7471
Phone(612) 626-5451
Fax(612) 626-1144
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1912079609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MN · 43201
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
2450 RIVERSIDE AVE # AO-301, Minneapolis, MN 55454
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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 and accepts Medicare assignment

Dr. Walid Maalouli 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 ID7416188941
PECOS Enrollment IDI20140327000148
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

2

Medicare enrollment records show Walid Maalouli 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
Centracare Clinic
34 mi
Multi-Specialty
16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
Big Lake, MN 55309
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1013104348 (763) 263-7300

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA QIU DO
Pediatrics (Pediatric Emergency Medicine)
2450 RIVERSIDE AVE # AO-301
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-6678
DR. MOUNIKA MUTTINENI DO
Pediatrics
2450 RIVERSIDE AVE # AO-301
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-7422

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 Walid Maalouli's NPI number?

The NPI number for Walid Maalouli is 1912079609. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Walid Maalouli located?

Walid Maalouli practices at 2450 Riverside Ave # Ao-301, Minneapolis, MN 55454. The listed phone number is (612) 626-5451.

What is Walid Maalouli's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Walid Maalouli enrolled in Medicare?

Yes. Walid Maalouli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Walid Maalouli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walid Maalouli reassigns Medicare benefits to 2 organizations: Fairview Health Services (Minneapolis, MN) and Centracare Clinic (Big Lake, MN). Each 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 Walid Maalouli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Walid Maalouli accept?

Health plans from Sanford Health Plan list Walid Maalouli 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 Walid Maalouli was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.