MIDWEST IMMUNOLOGY CLINICS, PLLC
MIDWEST IMMUNOLOGY CLINICS, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1457417933, based in Plymouth, MN. The organization lists 3 taxonomy classifications, with Allergy & Immunology Physician recorded as primary.
Getting there
The practice address on file is 15655 37TH AVE N STE 250, Plymouth, MN 55446. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4486684438
- Enrollment ID
- O20050818000849
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Allergy & Immunology covers
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. NUCC Health Care Provider Taxonomy, code 207K00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology Physician | — | — | primary |
| 261QI0500X | Infusion Therapy Clinic/Center Infusion Therapy | — | — | |
| 2084N0400X | Neurology Physician Neurology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1457417933 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 28, 2006 |
| Last updated | Jan 22, 2026 |
| Status | Active |
| Practice address |
15655 37TH AVE N STE 250 Plymouth, MN 55446 (763) 316-0750 Fax (616) 954-3410 |
| Mailing address |
1726 COLE BLVD STE 250 Lakewood, CO 80401 |
| Other identifiers |
454847700
· Medicaid (MN) 51B54MI · Other (MN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 5 | 7 | 4 | 1 | 7 | 9 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 1 | 7 | 8 | 1 | 5 | 9 | 6 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.