Active NPI
Anthony J. Witt, MD
- Family Medicine Physician
- Rochester, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01082403A
- Practice address
- 1432 E 9TH St
Rochester, IN 46975-8931 - Phone
- (574) 223-4337
- NPI assigned
- Jun 3, 2016
- Last updated
- Jul 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01082403A | Other | IN | MEDICAL 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
Enrollment records 1
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 Hospital
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Woodlawn Hospital | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Woodlawn Hospital | Family Medicine | Current | Accepting new patients |
| Woodlawn Hospital | Family Medicine | Current | Accepting new patients |
| Woodlawn Hospital | Current | 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.
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
- Critical Access Hospital
- Rochester, IN
- NPI 1265413405
-
dba Saint Joseph Medical Group
- Family Medicine Physician
- Mishawaka, IN
- NPI 1467406074
-
dba Fulton County Medical Clinic
- Rural Health Clinic/Center
- Rochester, IN
- NPI 1982267613
-
dba Saint Joseph Foot and Ankle Sports Medicine Institute Plymouth
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elara Caring
- Home Health Agency
- Kokomo, IN
- NPI 1346255940
-
- Home Health Agency
- Avon, IN
- NPI 1225152960
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- Critical Access Hospital
- Rochester, IN
- NPI 1265413405
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
- Jacqueline Elizabeth Wethington, BA
- Helen Simms Whitfield, LCSW
- Sarah Wild, CRNA
- Ashley Marie Wilson, P.T.A.
- Kyle Wilson
- Woodlawn Hospital (Woodlawn Medical Professionals)
- Woodlawn Hospital (Rochester Surgical Services)
- Woodlawn Hospital (Rochester Orthopedics)
- Woodlawn Hospital (Rochester Surgical Services)
- Woodlawn Hospital (Shafer Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.