Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leah Vivian Patullo, DO

Individual provider Emergency Medicine Physician · NPI 1376048041

Leah Vivian Patullo, DO is an Emergency Medicine in Plymouth, Minnesota. Qualified in 2018, 8 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
8
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2855 Campus Dr
Plymouth, MN 55441-2649
Phone: (763) 577-7160
Fax: (763) 577-7074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 E 28th St # 11112, Minneapolis, MN 55407-3723 — (612) 439-1860

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 76135 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 72759 (WI)

Record details

NPI number1376048041
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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