DR. MICHAEL T AKIN (M.D.) – Diagnostic Radiology Physician, NPI 1114902004

DR. MICHAEL T AKIN (M.D.) is a healthcare provider. based in St louis park, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 47470 (MN). The NPI Number for DR. MICHAEL T AKIN (M.D.) is 1114902004

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL T AKIN (M.D.)
NPI
1114902004
Phone
Not provided
Address
3800 PARK NICOLLET BLVD
Enumeration Date
13 December 2005
Last Update Date
29 February 2012

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9529931300
Graduation Year
1992 (34 years ago)
PAC ID
8123045713
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20051102000482
Address ID
MN554163033ST4951XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

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Provider Addresses for DR. MICHAEL T AKIN (M.D.)

  • 3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    CREDENTIALING

    ST LOUIS PARK, MN 554162527

    Phone:

    Type: Mailing

  • Excelsior Boulevard, Minikahda Vista, Saint Louis Park, Hennepin County, Minnesota, 55416:55424, United States

    ST LOUIS PARK, MN 554264702

    Phone: (959) 299-3539

    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: 2005-11-02

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
I20051102000482IDiagnostic RadiologyMNTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2,15022$0
A9585Injection, gadobutrol, 0.1 ml1,30014$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml58546$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg21244$0
71046X-ray of chest, 2 views130130$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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Provider's Procedures

DR. MICHAEL T AKIN (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMN20610Aspiration and/or injection of large joint or joint capsule2727
DIAGNOSTIC RADIOLOGYMN71250CT scan chest1313
DIAGNOSTIC RADIOLOGYMN73110X-ray of wrist, minimum of 3 views2423
DIAGNOSTIC RADIOLOGYMN73140X-ray of fingers, minimum of 2 views1414
DIAGNOSTIC RADIOLOGYMN73562X-ray of knee, 3 views10492
DIAGNOSTIC RADIOLOGYMN73630X-ray of foot, minimum of 3 views5553
DIAGNOSTIC RADIOLOGYMN74177CT scan of abdomen and pelvis with contrast2020

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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL T AKIN (M.D.) in U.S. healthcare records?
The official identifier for DR. MICHAEL T AKIN (M.D.) is NPI 1114902004.
Is there an active status for DR. MICHAEL T AKIN (M.D.)?
For scheduling context, DR. MICHAEL T AKIN (M.D.) is shown as active in the registry.
How would a patient describe DR. MICHAEL T AKIN (M.D.)'s focus?
For DR. MICHAEL T AKIN (M.D.), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL T AKIN (M.D.) located near St Louis Park?
DR. MICHAEL T AKIN (M.D.) currently maps to St Louis Park, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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