DR. ALLAN J WILKE (MD) – Family Medicine Physician, NPI 1366404097
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
204 GERIATRIC MEDICINE in MI
Provider Addresses for DR. ALLAN J WILKE (MD)
1125 E MILHAM AVE STE B
PORTAGE, MI 490023096
Phone: (269) 312-1446
Fax: (269) 775-1079
Type: Location
1000 Oakland Dr
Kalamazoo, MI 490088040
Phone: (269) 337-6500
Type: Location
PO BOX 2174
KALAMAZOO, MI 490032174
Phone: (269) 312-1446
Fax: (269) 775-1079
Type: Mailing
Center Street Promenade, Anaheim, Orange County, California, 92805, United States
ANAHEIM, CA 928053960
Phone: (714) 449-4800
Fax: (714) 449-4956
Type: Mailing
Harrison Avenue, Eureka, Humboldt County, California, 95503, United States
EUREKA, CA 955013200
Phone: (707) 443-9371
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: 2012-08-20
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 |
|---|---|---|---|---|
| I20120820000607 | I | Family Practice | MI | 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 49002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | MI |
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