PHILLIP M. RADKE M.D. – NPI #1407112881
Ophthalmology

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Health Care Provider Taxonomy Code for Ophthalmology

PHILLIP RADKE is an ophthalmologist located in MINNETONKA, MN. NPPES has assigned the NPI number 1407112881 to PHILLIP RADKE on April 10, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0200X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery

The NPI profile was previously updated about 3 years ago on Aug 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILLIP RADKE below.

NPI Profile for
PHILLIP M. RADKE

NPI Number
1407112881
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP M. RADKE
Credentials
M.D.
Primary location
15111 TWELVE OAKS CENTER DR
MINNETONKA, MN 55305-5202
Phone: (952) 993-4500 Fax:
1 Other location(s):
7450 France Ave S Ste 100
Edina, MN 55435-4799
Phone: (529) 832-8100
Fax: (952) 832-8176
Mailing address
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0200X
- Ophthalmology / Ophthalmic Plastic and Reconstructive Surgery (Primary)		 MN 64918
207W00000X
- Ophthalmology		 WA MD60668469

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PHILLIP RADKE is affiliated with the following medical group(s):
  • HOSPITAL
    • M HEALTH FAIRVIEW SOUTHDALE HOSPITAL
      6401 FRANCE AVENUE SOUTH
      EDINA, MN 55435

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