OrganizationActive
Allina Health System
NPI 1407893936 · Internal Medicine Physician · Minneapolis, MN
Provider details
- NPI number
- 1407893936
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dominica Tallarico, Coo(612) 222-2222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 E 28th St
Minneapolis, MN 55407-3723
Phone: (612) 863-3110
Street-level locationGet directions
Mailing address
Po Box 43
Minneapolis, MN 55440-0043
Other names (DBA / former)
- Doing business as
- Abbott Northwestern Wound Clinic
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.