MARK LUDKA (M.D.) – Diagnostic Radiology Physician, NPI 1366412942

MARK LUDKA (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301055862 (MI). The NPI Number for MARK LUDKA (M.D.) is 1366412942

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MARK LUDKA (M.D.)
NPI
1366412942
Phone
(616) 363-7272
Address
3264 N EVERGREEN DRIVE NE
Enumeration Date
25 January 2006
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
6163637272
Graduation Year
1990 (36 years ago)
PAC ID
9638075112
Group Practice PAC ID
4284546516
Professional Enrollment ID
I20040724000044
Address ID
MI486025383SA700XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,649 DIAGNOSTIC RADIOLOGY in MI

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Provider Addresses for MARK LUDKA (M.D.)

  • 3264 N EVERGREEN DRIVE NE

    GRAND RAPIDS, MI 49525

    Phone: (616) 363-7272

    Fax: (616) 361-5828

    Type: Mailing

  • 3400, North Center Road, Saginaw Charter Township, Saginaw County, Michigan, 48603, United States

    SUITE 400

    SAGINAW, MI 486037920

    Phone: (989) 799-5600

    Fax: (989) 799-7430

    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: 2004-07-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040724000044IDiagnostic RadiologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77067Screening mammography889889$0
77063Screening 3d breast mammography887887$0
77080Dxa bone density measurement of hip, pelvis, spine354354$0
71045X-ray of chest, 1 view275256$0
71046X-ray of chest, 2 views134134$0
View full utilization report →

Insurance plans in this area (ZIP 49525)

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Provider's Procedures

MARK LUDKA (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI73562X-ray of knee, 3 views1311
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views2222
DIAGNOSTIC RADIOLOGYMI76830Ultrasound pelvis through vagina1818
DIAGNOSTIC RADIOLOGYMI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4747

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284546516View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify MARK LUDKA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1366412942 for MARK LUDKA (M.D.).
Should I treat MARK LUDKA (M.D.) as an active provider?
Patients and plans typically see MARK LUDKA (M.D.) as active in the national extract.
What does the directory say MARK LUDKA (M.D.) does?
Insurance directories may phrase it differently, but here MARK LUDKA (M.D.) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MARK LUDKA (M.D.)?
The directory associates MARK LUDKA (M.D.) with Grand Rapids, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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