David P Wicklund, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

46642 Issued in MN

Practice address

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Phone

(763) 559-2171

Fax

(763) 694-9000

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, WI2 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 2

Specialty

Diagnostic Radiology

Education

University of Minnesota Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minneapolis Radiology Associates LTDGroup PAC ID 5698661007, 44 clinicians

North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Hudson Imaging Partners LLCGroup PAC ID 1557734225, 29 clinicians

Minnesota Diagnostic Imaging Partners LLCGroup PAC ID 5890681209, 32 clinicians

West Imaging LLCGroup PAC ID 7315833720, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001
• Maple Grove Hospital Hospital, Maple Grove, MN, CCN 240214
• Centracare Health - Monticello Hospital, Monticello, MN, CCN 241362

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Minneapolis Radiology Associates, LTD.

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
  • NPI 1871594341

  Body Imaging

  Medicare reassignment Care Compare group NPD
• Minnesota Diagnostic Imaging Partners, LLC

  • Diagnostic Radiology Physician
  • Maple Grove, MN
  • NPI 1922009471
  Medicare reassignment Care Compare group NPD
• North Memorial Health Care

  • General Acute Care Hospital
  • Robbinsdale, MN
  • NPI 1851344907
  Medicare reassignment Care Compare group NPD
• West Imaging, LLC

  • Diagnostic Radiology Physician
  • Robbinsdale, MN
  • NPI 1053311399
  Medicare reassignment Care Compare group NPD
• Hudson Imaging Partners LLC

  • Diagnostic Radiology Physician
  • Hudson, WI
  • NPI 1346971371
  Medicare reassignment Care Compare group NPD
• North Memorial Health Care

  • Clinic/Center
  • Blaine, MN
  • NPI 1841995552
  NPD

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

• Centracare Health System-NR LLC

  • Critical Access Hospital
  • Monticello, MN
  • NPI 1275872772
  Care Compare affiliation
• Centracare Health System-NR LLC

  • Multi-Specialty Clinic/Center
  • Monticello, MN
  • NPI 1558600874

  Hospital

  Care Compare affiliation
• Maple Grove Hospital Corporation

  • General Acute Care Hospital
  • Maple Grove, MN
  • NPI 1225272552
  Care Compare affiliation
• North Memorial Health Care

  • Ambulance
  • Brooklyn Center, MN
  • NPI 1538195912

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  • Medical Specialty Clinic/Center
  • Robbinsdale, MN
  • NPI 1699953000

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  • Clinic/Center
  • Blaine, MN
  • NPI 1841995552

  Hospital

  Care Compare affiliation
• North Memorial Health Care

  • General Acute Care Hospital
  • Robbinsdale, MN
  • NPI 1851344907
  Care Compare affiliation

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1811998537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR",
            "address_2": "STE 10",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412645",
            "telephone_number": "763-559-2171",
            "fax_number": "763-694-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222926",
            "telephone_number": "763-559-2171",
            "fax_number": "763-694-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKLUND",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "46642",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MN",
            "license": "46642",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MN",
            "license": "46642",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MN",
            "license": "46642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "654456800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Kaye Wheeler
• Bradford Kenneth Whirley, PHARMD
• Cassie Lynn Yager Whitaker, PA
• Rosa Virginia White, M.D.
• Kathleen Yvonne Whitley, M.D.
• Christine Marie Wiese, ANP-BC
• Sarah Wilder, PA-C
• Chase Williams
• Andrew Palmer Wilson, M.D.
• Francine Wilson, CMT

• Diagnostic Radiology Physician in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.