ALLINA HEALTH SYSTEM
NPI 1912203365
Family Medicine in Fridley, MN

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

The NPI number for Allina Health System is 1912203365. It was assigned to this organization in the NPPES registry on February 2, 2011. The provider is doing business as Allina Health Fridley Clinic.

Q: What is Allina Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 02, 2011

500 OSBORNE RD NE STE 150, FRIDLEY, MN 55432(763) 786-6011(763) 236-2505 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Sep 1, 2020, Nov 22, 2019 and 2 more (5 updates tracked since 2018).

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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 1912203365), doing business as Allina Health Fridley Clinic, is a healthcare organization registered as a family medicine in Fridley, Minnesota and active in the NPI registry since February 2011. The organization lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1912203365

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameALLINA HEALTH SYSTEM

Location Address500 OSBORNE RD NE STE 150Fridley, MN 55432-2770

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

Phone(763) 786-6011

Fax(763) 236-2505

Organization SubpartNo

Authorized OfficialDominica TallaricoCoo · (612) 222-2222

Enumeration DateFebruary 2, 2011

Last NPPES UpdateFebruary 26, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1912203365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/CenterTaxonomy 261Q00000X

500 OSBORNE RD NE STE 150, Fridley, MN 55432

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Other Names 1

Doing Business AsAllina Health Fridley Clinic

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

4,538

Medicare enrollment records show 4,538 clinicians reassign Medicare billing to Allina Health System, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 973 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 68

Nurse Practitioner785

Family Practice536

Internal Medicine467

Diagnostic Radiology333

Certified Registered Nurse Anesthetist (CRNA)308

Clinical Social Worker184

Obstetrics/Gynecology172

Clinical Psychologist154

60 other specialties1,599

Nearest to this location (20)

See all 4,538

Joseph Akornor, M.D.

Urology

NPI 1497731913

500 OSBORNE RD NE SUITE 120
Fridley, MN 55432

(651) 999-6800

✔ PECOS✔ Accepts MedicareSame address

Henry Bong, MD

Obstetrics/Gynecology

NPI 1831213438

500 OSBORNE RD #110
Fridley, MN 55432

(763) 236-2075

✔ PECOS✔ Accepts MedicareSame address

Jill Marrone, MS, RD, LD

Registered Dietitian or Nutrition Professional

NPI 1073935219

500 OSBORNE RD NE SUITE 200
Fridley, MN 55432

(763) 236-2045

✔ Accepts MedicareSame address

Sadia Mohamed, CNM

Certified Nurse Midwife (CNM)

NPI 1891523221

500 OSBORNE RD NE STE 150
Minneapolis, MN 55432

(763) 236-2500

✔ PECOS✔ Accepts MedicareSame address

Mona Abdel-Bary, MBBCH

Family Practice

NPI 1689067860

500 OSBORNE RD NE SUITE 255
Fridley, MN 55432

(763) 236-2500

✔ PECOS✔ Accepts MedicareSame address

Lee Baumgarten

Urology

NPI 1801255815

500 OSBORNE RD NE STE 120
Fridley, MN 55432

(651) 999-6800

✔ PECOS✔ Accepts MedicareSame address

Erin Church, LICSW

Clinical Social Worker

NPI 1083226112

500 OSBORNE RD NE STE 255
Fridley, MN 55432

(763) 786-6011

✔ PECOS✔ Accepts MedicareSame address

Dale Cody, M.D.

General Surgery

NPI 1598727638

500 OSBORNE RD NE STE 255
Fridley, MN 55432

(763) 236-2500

✔ PECOS✔ Accepts MedicareSame address

Kayla Gosnell, CNM

Certified Nurse Midwife (CNM)

NPI 1982433850

500 OSBORNE RD NE STE 150
Fridley, MN 55432

(763) 236-2500

✔ PECOS✔ Accepts MedicareSame address

Nicholas Hamel, MD

Obstetrics/Gynecology

NPI 1649236894

500 OSBORNE RD NE SUITE 255
Fridley, MN 55432

(763) 786-6011

✔ PECOS✔ Accepts MedicareSame address

Diana Heilig, D.O.

Family Practice

NPI 1568823870

500 OSBORNE RD NE STE 255
Fridley, MN 55432

(763) 786-6011

✔ PECOS✔ Accepts MedicareSame address

Todd Henrikson, M.D.

Internal Medicine

NPI 1669435756

500 OSBORNE RD NE SUITE 255
Fridley, MN 55432

(763) 236-2500

✔ PECOS✔ Accepts MedicareSame address

Tiana Kazemi

Dermatology

NPI 1154827202

500 OSBORNE RD NE STE 150
Fridley, MN 55432

(763) 786-6011

✔ PECOS✔ Accepts MedicareSame address

Lucie Larson, MD

Obstetrics/Gynecology

NPI 1932341252

500 OSBORNE RD NE SUITE 255
Fridley, MN 55432

(763) 236-2500

✔ PECOS✔ Accepts MedicareSame address

Emily Mcconnell, DNP

Nurse Practitioner

NPI 1902570062

500 OSBORNE RD NE STE 150
Fridley, MN 55432

(763) 786-6011

✔ PECOS✔ Accepts MedicareSame address

Janet Price, M.D.

Family Practice

NPI 1326156043

500 OSBORNE RD NE SUITE 255
Fridley, MN 55432

(736) 236-2500

✔ PECOS✔ Accepts MedicareSame address

Alberto Ricart, M.D.

Infectious Disease

NPI 1982712576

500 OSBORNE RD NE
Fridley, MN 55432

(763) 236-2500

✔ PECOS✔ Accepts MedicareSame address

Jennifer Sullivan, WHNP

Nurse Practitioner

NPI 1053584789

500 OSBORNE RD NE SUITE 200
Fridley, MN 55432

(763) 786-6011

✔ PECOS✔ Accepts MedicareSame address

Clinten Vanlith, PSYD

Clinical Psychologist

NPI 1306911821

500 OSBORNE RD NE STE 255
Fridley, MN 55432

(763) 786-6011

✔ PECOSSame address

Amy Cedar

Clinical Psychologist

NPI 1710529003

480 OSBORNE RD NE STE 260
Fridley, MN 55432

(763) 236-3800

✔ PECOS✔ Accepts MedicareSame address

See all 4,538 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 1912203365. It was assigned to this organization in the NPPES registry on February 2, 2011. The provider is doing business as Allina Health Fridley Clinic.

Where is Allina Health System located?

Allina Health System is located at 500 Osborne Rd NE Ste 150, Fridley, MN 55432. The listed phone number is (763) 786-6011.

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.

How many clinicians bill Medicare through Allina Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,538 clinicians in 68 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 (785), Family Practice (536) and Internal Medicine (467). Of these, 19 practice at this address and 973 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 February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.