DR. MICHAEL DEAN MIEDEMA (MD) – Cardiovascular Disease Physician, NPI 1922275049

DR. MICHAEL DEAN MIEDEMA (MD) is a healthcare provider. based in Eden prairie, Minnesota. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 49193 (MN). The NPI Number for DR. MICHAEL DEAN MIEDEMA (MD) is 1922275049

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DEAN MIEDEMA (MD)
NPI
1922275049
Phone
(612) 508-1717
Address
6232 COTEAU TRL
Enumeration Date
8 May 2008
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
9524427843
Graduation Year
2005 (21 years ago)
PAC ID
8921173592
Group Practice PAC ID
1254418403
Professional Enrollment ID
I20080815000375
Address ID
MN553871752WA500XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
mmiedema94389@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN

Provider Addresses for DR. MICHAEL DEAN MIEDEMA (MD)

  • 6232, Coteau Trail, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    EDEN PRAIRIE, MN 553445204

    Phone: (612) 508-1717

    Type: Mailing

  • 800 E 28TH ST STE H2100

    MINNEAPOLIS, MN 554073723

    Phone: (612) 863-3900

    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: 2008-08-15

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
I20080815000375ICardiovascular Disease (Cardiology)MNTBD

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 ml5,87857$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function292292$0
99214Established patient office or other outpatient visit, 30-39 minutes201188$0
75574Ct scan of blood vessels and grafts of heart with contrast113113$0
93308Ultrasound of heart, follow-up7673$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: 1254418403View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Physician AssistantMN
Cardiovascular Disease (Cardiology)MN
Nurse PractitionerMN
Physician AssistantMN
Cardiovascular Disease (Cardiology)NY
Cardiovascular Disease (Cardiology), Internal MedicineMN
Internal Medicine, Cardiovascular Disease (Cardiology)MN
Cardiovascular Disease (Cardiology)MN
Internal Medicine, Cardiovascular Disease (Cardiology)MN

Reviews

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Frequently asked questions

Is there an official ID for DR. MICHAEL DEAN MIEDEMA (MD) in U.S. healthcare records?
The official identifier for DR. MICHAEL DEAN MIEDEMA (MD) is NPI 1922275049.
Would DR. MICHAEL DEAN MIEDEMA (MD) appear as active to a payer?
You can treat DR. MICHAEL DEAN MIEDEMA (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. MICHAEL DEAN MIEDEMA (MD)?
DR. MICHAEL DEAN MIEDEMA (MD) is associated with Cardiovascular Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. MICHAEL DEAN MIEDEMA (MD) registered?
Use Eden Prairie, Minnesota as the headline location for DR. MICHAEL DEAN MIEDEMA (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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