Individual provider Active NPI

Laura M Wike, MD

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1174589543
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-9158 Issued in ID
Practice address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 31652 AZ
Diagnostic Radiology Physician 2085R0202X M-9158 ID Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915

Mailing address

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, ID, TX, MT4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060502000499 IA Practitioner - Diagnostic Radiology 1658362652 Reassigns benefits to 2 organizations
I20130227000598 ID Practitioner - Diagnostic Radiology 1658362652 Reassigns benefits to 6 organizations
I20151109001973 TX Practitioner - Diagnostic Radiology 1658362652 Reassigns benefits to 4 organizations
I20170720001489 MT Practitioner - Diagnostic Radiology 1658362652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Arizona College of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
San Carlos Apache Healthcare CorporationGroup PAC ID 0648580597, 147 clinicians
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Virtual Radiologic Professionals LLCGroup PAC ID 4981608817, 392 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

2517 N Cisco LN
Boise, ID 83702-5502
Phone (866) 722-1655

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267
  • Honorhealth Sonoran Crossing Medical Center Hospital, Phoenix, AZ, CCN 030146

Merit-based Incentive Payment System (MIPS)

Final score
97.32 of 100Reported as group
Quality
91.68
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31652AZMDDiagnostic Radiology Physician
M-9158IDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ton Sells Hospital CurrentSince Nov 1, 2015 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 1, 2016 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Sep 1, 2025 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince Jan 15, 2013 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Oct 30, 2020 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 1, 2016 Accepting new patients
Belmond Community Hospital CurrentSince Sep 1, 2025 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Feb 4, 2021 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Oct 30, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
Clinical Diagnostic Radiology in Nuclear Medicine Diagnostic Radiology Past Accepting new patients
Banner Imaging Associates PLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 61)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2222 E Highland Ave
Ste 120
Phoenix, AZ 85016
Phone (602) 977-1177

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100

30 13th St
Havre, MT 59501
Phone (406) 262-1302

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1174589543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 800",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357915",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKE",
        "first_name": "LAURA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "31652",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-9158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.