Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Philip Panic, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1730685405

Dr. Philip Panic, MD is a Diagnostic Radiology in Edina, Minnesota. Graduated from Tufts University School of Medicine in 2018, 8 years ago. Practices with Lutheran Hospital Association of the San Luis Valley, a 150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, Kansas, Missouri and Virginia.

Years since qualifying
8
Trained at
Tufts University School of Medicine
Licensed in
CO, KS, MO, VA
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5818 N Nevada Ave Ste 100, Colorado Springs, CO 80918-3505 — (719) 365-7480
  • 12300 Metcalf Ave, Overland Park, KS 66213-1324 — (816) 932-2549

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence DR.0072416 (CO)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 2026036120 (MO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101289331 (VA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 43-53621 (KS)

Record details

NPI number1730685405
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Lutheran Hospital Association Of The San Luis Valley — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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