DR. SHANNON WALKER IKE (MD) – Cardiovascular Disease Physician, NPI 1003155151
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
511 INTERVENTIONAL CARDIOLOGY in CA
Provider Addresses for DR. SHANNON WALKER IKE (MD)
112 Parnassus Ave Apt 4
San Francisco, CA 941174246
Phone: (571) 271-8343
Type: Location
6201 Harry Hines Blvd Utsw
Dallas, TX 753900010
Phone: (214) 648-2395
Type: Location
PO BOX 845347 UTSW
DALLAS, TX 752847208
Phone:
Type: Mailing
6201 HARRY HINES BLVD UTSW
DALLAS, TX 753900010
Phone: (214) 648-2395
Type: Location
1505 COTTAGE SHELL DR
MYRTLE BEACH, SC 295793820
Phone: (571) 271-8343
Type: Mailing
80 JESSE HILL JR DR SE
ATLANTA, GA 303033031
Phone: (404) 616-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alnylam Pharmaceuticals Inc. | $24 |
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: 2024-08-29
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20240829000335 | I | Interventional Cardiology | GA | 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 94117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | GA | |
| - | CA | |
| Interventional Radiology, Diagnostic Radiology | NC | |
| Physician Assistant | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | CA | |
| - | GA | |
| - | GA |
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