Individual provider Active NPI

Anthony J. Witt, MD

  • Family Medicine Physician
  • Rochester, IN
National Provider Identifier
1083063762
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01082403A Issued in IN
Practice address
1432 E 9TH St
Rochester, IN 46975-8931
Phone
(574) 223-4337
NPI assigned
Jun 3, 2016
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01082403A IN Primary

Addresses

Primary practice location

1432 E 9TH St
Rochester, IN 46975-8931

Mailing address

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-2020

Other identifiers 1

IdentifierTypeStateIssuer
01082403AOtherINMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160829000436 IN Practitioner - Family Practice 0648565788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlawn HospitalGroup PAC ID 4082506993, shared by 17 NPIs, 30 clinicians

Practice addresses (Care Compare)

1400 E 9TH St
Rochester, IN 46975-8931

1430 E 9TH St
Rochester, IN 46975-8931

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Jul 10, 2019 Accepting new patients
Woodlawn Hospital CurrentSince Sep 4, 2023 Accepting new patients
Woodlawn Hospital CurrentSince Dec 31, 2025 Accepting new patients
Saint Joseph Regional Medical Center, Inc. Family Medicine CurrentSince Jul 10, 2019 Accepting new patients
Woodlawn Hospital Family Medicine Current Accepting new patients
Woodlawn Hospital Family Medicine CurrentSince Sep 4, 2023 Accepting new patients
Woodlawn Hospital CurrentSince Jul 7, 2024 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Family Medicine Past Accepting new patients
Woodlawn Hospital Past Accepting new patients

Locations

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

209 E Jefferson St
Plymouth, IN 46563
Phone (574) 941-3111

2349 Lake Ave
Ste 100
Plymouth, IN 46563
Phone (574) 941-3111

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

1432 E 9th St
Rochester, IN 46975
Phone (574) 223-4337

707 Cedar St
Ste 200
South Bend, IN 46617
Phone (574) 237-1328

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Organizations & group practices 9

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

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1083063762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-223-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 E 9TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469758931",
            "telephone_number": "574-223-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-07-05",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01082403A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "01082403A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

Verify at the official NPI Registry.