DR. LAURA M WIKE (MD) – Diagnostic Radiology Physician, NPI 1174589543

DR. LAURA M WIKE (MD) is a healthcare provider. based in Edina, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 31652 (AZ). The NPI Number for DR. LAURA M WIKE (MD) is 1174589543

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA M WIKE (MD)
NPI
1174589543
Phone
(952) 595-1301
Address
3600 MINNESOTA DR STE 800
Enumeration Date
25 April 2006
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
1658362652
Group Practice PAC ID
0648580597
Professional Enrollment ID
I20151109001973
Address ID
AZ855420787PEPOXXXBOXX206
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

Provider Addresses for DR. LAURA M WIKE (MD)

  • 3600 MINNESOTA DR STE 800

    EDINA, MN 554357915

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 11995 SINGLETREE LN STE 500

    EDEN PRAIRIE, MN 553445349

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 2517, North Cisco Lane, Sunset Commons, North End, Boise, Ada County, Idaho, 83702, United States

    BOISE, ID 837025502

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

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: 2017-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20060502000499IDiagnostic RadiologyIATBD
I20130227000598IDiagnostic RadiologyIDTBD
I20151109001973IDiagnostic RadiologyTXTBD
I20170720001489IDiagnostic RadiologyMTTBD

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
71045X-ray of chest, 1 view189184$0
70450Ct scan head or brain without contrast101101$0
74177Ct scan of abdomen and pelvis with contrast7676$0
71046X-ray of chest, 2 views6161$0
74176Ct scan of abdomen and pelvis without contrast5151$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Provider's Procedures

DR. LAURA M WIKE (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYID71010X-ray of chest, 1 view, front344315
DIAGNOSTIC RADIOLOGYID71250CT scan chest1919
DIAGNOSTIC RADIOLOGYID73562X-ray of knee, 3 views1919
DIAGNOSTIC RADIOLOGYID74177CT scan of abdomen and pelvis with contrast3131

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: 0648580597View full group profile
NameSpecialtyState
-CA
Diagnostic RadiologyMN
Diagnostic RadiologyNV
Emergency MedicineCA
Neurology, OphthalmologyAZ
Emergency MedicineCA
Osteopathic Manipulative Medicine, Family PracticeAZ
Hematology/Oncology, Medical Oncology, Internal MedicineWI
-AZ
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Does DR. LAURA M WIKE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LAURA M WIKE (MD) uses 1174589543.
Does the file indicate DR. LAURA M WIKE (MD) is practicing under active NPI?
Directory data currently reports DR. LAURA M WIKE (MD) as active.
What taxonomy line describes DR. LAURA M WIKE (MD)?
For research purposes, treat DR. LAURA M WIKE (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LAURA M WIKE (MD)?
DR. LAURA M WIKE (MD)'s geographic hint is Edina, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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