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

Nicholas Mario Dilullo, PA-C

Individual provider Medical Physician Assistant · NPI 1699120014

Nicholas Mario Dilullo, PA-C is a Physician Assistant in Minneapolis, Minnesota. Graduated from Tufts University School of Medicine in 2016, 10 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Minnesota.

Years since qualifying
10
Trained at
Tufts University School of Medicine
Licensed in
MA, MN
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone: (612) 262-7800
Fax: (612) 262-7022
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Washington St, Boston, MA 02111-1552 — (617) 636-5000
  • 55 Fruit St, Boston, MA 02114-2621 — (617) 724-3874

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15440 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA5714 (MA)

Record details

NPI number1699120014
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Minneapolis