Individual provider Active NPI

Denise Kathleen Wise, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1184634586
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K3002 Issued in TX
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

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A743940MedicaidCA
104612003MedicaidTX
104612005MedicaidTX

Other names 1

  • Denise Kathleen Schroeder Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040117000161 CA Practitioner - Diagnostic Radiology 1759282650 Reassigns benefits to 7 organizations

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
Valley Radiology Medical Associates IncGroup PAC ID 8022911809, 27 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, 133 clinicians

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 Hospital, Mountain View, CA, CCN 050308
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74394CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Apr 24, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 7, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 7, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Dec 30, 2025 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 7, 2024 Accepting new patients
Peninsula Ultrasound, Mammography & Radiology Services Medical Group Current Accepting new patients
El Camino Health Medical Network, LLC CurrentSince May 6, 2024 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Dec 30, 2025 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.

View all 17

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.