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

Roula Altisheh, MD

Individual provider Allergy & Immunology Physician · NPI 1609132125

Roula Altisheh, MD is an Allergy/Immunology in Saint Paul, Minnesota. Qualified in 2004, 22 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Ohio.

Years since qualifying
22
Licensed in
MN, OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone: (651) 254-7560
Show map & directions

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

Additional practice locations (2)

  • 1501 N Campbell Ave, Tucson, AZ 85724-0001 — (520) 626-8309
  • 9500 Euclid Ave, Cleveland, OH 44195 — (216) 445-5810

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 73925 (MN)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 35.134068 (OH)

Record details

NPI number1609132125
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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