Active NPI
Denise Kathleen Wise, M.D.
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- K3002
- Practice address
- 800 5TH Ave
Suite 400
Fort Worth, TX 76104-7300 - Phone
- (817) 924-1999
- Fax
- (817) 886-0881
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A74394 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | K3002 | TX | Primary |
Addresses
Primary practice location
800 5TH Ave
Suite 400
Fort Worth, TX 76104-7300
Mailing address
800 5TH Ave
Suite 400
Fort Worth, TX 76104-7300
Phone (817) 924-1999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A743940 | Medicaid | CA | |
| 104612003 | Medicaid | TX | |
| 104612005 | Medicaid | TX |
Other names 1
- Denise Kathleen Schroeder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Diagnostic Radiology
- Education
- Texas a & M University System, HSC, College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Ciro Ave
Suite 220
San Jose, CA 95128-1671
Phone (408) 297-4591
2296 Gunar Dr
San Jose, CA 95124-1007
Phone (408) 866-4075
2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (925) 296-7150
Hospital & facility affiliations
- El Camino Health
- Stanford Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.3 of 100
- Quality
- 75.71
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74394 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Golden State Imaging Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Peninsula Ultrasound, Mammography & Radiology Services Medical Group | Current | Accepting new patients | |
| El Camino Health Medical Network, LLC | Current | Accepting new patients | |
| Bay Imaging Consultants Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| El Camino Hospital | Past | Accepting new patients | |
| El Camino Health Medical Group | Past | Accepting new patients | |
| Good Samaritan Hospital Ca LTD PTP | Past | Accepting new patients | |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Quantum Medical Radiology of California, P.C. | Diagnostic Radiology | Past | Accepting new patients |
Locations
20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520
17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200
47111 Monroe St
#1112
Indio, CA 92201
815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131
665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
5860 Owens Dr
Ste 150
Pleasanton, CA 94588
Phone (925) 467-1400
225 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 888-5000
325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013
325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003
101 S San Mateo Dr
Ste 201
San Mateo, CA 94401
Phone (650) 343-1655
6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273
7777 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8442
Organizations & group practices 17
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.
-
- Radiology Clinic/Center
- Mountain View, CA
- NPI 1629265806
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1356597637
-
- Radiology Clinic/Center
- San Jose, CA
- NPI 1396703179
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
-
- Diagnostic Radiology Physician
- St. Helena, CA
- NPI 1063909851
-
- Diagnostic Radiology Physician
- Berkeley, CA
- NPI 1871749754
-
- Diagnostic Radiology Physician
- San Bernardino, CA
- NPI 1225669351
-
- Radiology Clinic/Center
- San Mateo, CA
- NPI 1871569525
-
- Geriatric Medicine (Family Medicine) Physician
- Los Gatos, CA
- NPI 1578831764
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1184634586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 5TH AVE",
"address_2": "SUITE 400",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047300",
"telephone_number": "817-924-1999",
"fax_number": "817-886-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 5TH AVE",
"address_2": "SUITE 400",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047300",
"telephone_number": "817-924-1999",
"fax_number": "817-886-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "DENISE",
"middle_name": "KATHLEEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A74394",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "K3002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A743940",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104612003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104612005",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "SCHROEDER",
"middle_name": "KATHLEEN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.