ALLERGY & ASTHMA SPECIALISTS, PA — NPI 1487614590 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology in MINNEAPOLIS, MN)

CMS-1500 Box 24J / 33a • NPI

1487614590

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207KI0005X (CMS 03)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology

Box 32 Service Location & ZIP+4

825 NICOLLET MALL, SUITE 1149, MINNEAPOLIS, MN, 55402-2606

✓ 9-Digit EDI 837 ZIP+4 (55402-2606)

Practice Phone & Referral Fax

(612) 338-3333

Fax: (612) 349-3838

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487614590 (ALLERGY & ASTHMA SPECIALISTS, PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1487614590` (NPI-2 Organization / Facility)
Provider / Legal Name	ALLERGY & ASTHMA SPECIALISTS, PA
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology NUCC Code: `207KI0005X` (Allergy & Immunology, Clinical & Laboratory Immunology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	825 NICOLLET MALL, SUITE 1149, MINNEAPOLIS, MN, 55402-2606
Practice Telephone / Fax	Tel: (612) 338-3333 \| Fax: (612) 349-3838
Administrative Mailing Address	825 NICOLLET MALL, MINNEAPOLIS, MN, 55402-2606
Enumeration & Last Sync	Enumerated: 2006-03-23 \| CMS Record Updated: 2010-02-02
Authorized Official	GARY BERMAN (Secretary)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

825 NICOLLET MALL, SUITE 1149, MINNEAPOLIS, MN, 55402-2606

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Plain-English Taxonomy & CMS Crosswalk (207KI0005X)

What Does Taxonomy Code 207KI0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207KI0005X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 03 (Physician/Allergy/ Immunology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allergy & Immunology, Clinical & Laboratory Immunology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALLERGY & ASTHMA SPECIALISTS, PA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207KI0005X` — Allergy & Immunology, Clinical & Laboratory Immunology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology — Clinical & Laboratory Immunology	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALLERGY & ASTHMA SPECIALISTS, PA (NPI #1487614590)