WILLIAM IRA FESKE (MD) – Diagnostic Radiology Physician, NPI 1689652653

WILLIAM IRA FESKE (MD) is a healthcare provider. based in Eden prairie, Minnesota. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 71313 (FL). The NPI Number for WILLIAM IRA FESKE (MD) is 1689652653

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM IRA FESKE (MD)
NPI
1689652653
Phone
(952) 595-1301
Address
11995 SINGLETREE LN
Enumeration Date
9 January 2006
Last Update Date
5 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3108299788
Graduation Year
1990 (36 years ago)
PAC ID
5092628362
Group Practice PAC ID
2961306469
Professional Enrollment ID
I20090127000308
Address ID
CA904034801SA2827XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,793 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for WILLIAM IRA FESKE (MD)

  • 11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    STE 500

    EDEN PRAIRIE, MN 553445347

    Phone: (952) 595-1301

    Fax: (612) 294-4903

    Type: Mailing

  • 3395, Michelson Drive, Rancho San Joaquin, Irvine, Orange County, California, 92612, United States

    APT 3418

    IRVINE, CA 926124438

    Phone: (952) 595-1100

    Fax: (612) 294-4903

    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: 2009-01-27

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
I20090127000308IDiagnostic RadiologyCATBD

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 ml34,600214$0
A9575Injection, gadoterate meglumine, 0.1 ml15,008233$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml11,000107$0
763763d radiographic procedure541377$0
74177Ct scan of abdomen and pelvis with contrast238130$0
View full utilization report →

Insurance plans in this area (ZIP 55344)

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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: 2961306469View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Nuclear Medicine, Diagnostic RadiologyCA
Vascular Surgery, Obstetrics/GynecologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

How is WILLIAM IRA FESKE (MD) identified in CMS data?
CMS-hosted NPPES data lists WILLIAM IRA FESKE (MD) with NPI 1689652653.
Can I rely on WILLIAM IRA FESKE (MD) being an active provider?
As of the registry snapshot, WILLIAM IRA FESKE (MD) is marked active.
What healthcare role does WILLIAM IRA FESKE (MD) hold?
Scheduling teams often label WILLIAM IRA FESKE (MD) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does WILLIAM IRA FESKE (MD) serve?
WILLIAM IRA FESKE (MD)'s listing highlights Eden Prairie, Minnesota; more addresses can appear in NPPES.
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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