Infusion Associates – Allergy & Immunology Physician, NPI 1457417933
Allergy & Immunology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Infusion Associates
21897, South Diamond Lake Road, Rogers, Hennepin County, Minnesota, 55374, United States
SUITE 400-307
ROGERS, MN 553744642
Phone: (763) 515-3993
Fax: (763) 497-9248
Type: Mailing
15700, 37th Avenue North, Plymouth, Hennepin County, Minnesota, 55446, United States
SUITE 110
PLYMOUTH, MN 554463399
Phone: (763) 577-0008
Fax: (763) 577-0192
Type: Location
652 Bielenberg Dr Ste 101
Woodbury, MN 551254419
Phone: (651) 867-1618
Type: Location
15655 37th Ave N Ste 260
Plymouth, MN 554464000
Phone: (763) 316-0750
Fax: (616) 954-3410
Type: Location
1726 COLE BLVD STE 250
LAKEWOOD, CO 804013262
Phone: (855) 478-1528
Fax: (720) 465-5040
Type: Mailing
15655 37TH AVE N STE 250
PLYMOUTH, MN 554464000
Phone: (763) 316-0750
Fax: (616) 954-3410
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-08-18
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050818000849 | O | Clinic/Group Practice | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55374)
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