C. Vince Wiseman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

H1737 Issued in TX

Practice address

12554 Riata Vista Cir
Austin, TX 78727-6431

Phone

(512) 519-3462

Fax

(512) 795-5122

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Diagnostic Radiology

Education

University of Texas Southwestern Medical School at Dallas, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospital at Westlake Medical Center Hospital, Austin, TX, CCN 670006

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 36)

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.

• Austin Radiological Association

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1033196464
  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875
  Medicare reassignment Care Compare group NPD
• Ara/St. David'S Imaging, LP

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1225015530
  NPD
• Ara/St. David'S Imaging, LP

  • Radiology Clinic/Center
  • Georgetown, TX
  • NPI 1528373636
  NPD
• Ara/St. David'S Imaging, LP

  • Radiology Clinic/Center
  • Round Rock, TX
  • NPI 1720065170
  NPD
• Ara/St. David'S Imaging, LP

  • Mobile Radiology Clinic/Center
  • Austin, TX
  • NPI 1851570592
  NPD
• Community Radiology Associates P a

  • Diagnostic Radiology Physician
  • Austin, TX
  • NPI 1174573273
  NPD (past)
• Texas Orthopedics Sports & Rehabilitation Associates PA

  • Orthopaedic Surgery Physician
  • Austin, TX
  • NPI 1346244688
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Westlake Surgical, L.P.

  • General Acute Care Hospital
  • West Lake Hills, TX
  • NPI 1043328198
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1235133760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-519-3462",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-519-3462",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "C.",
        "middle_name": "VINCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H1737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139262313",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE",
            "identifier": "300034057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN2",
            "identifier": "139262312",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139262306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE2",
            "identifier": "300127205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN1",
            "identifier": "139262305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Wise, LPC-A
• Michelle M Wise, LPC
• Natalie Myrna Bachir Wise, MB BCH BAO
• Shannon Wise, RD, LD
• Shelbi Wise
• Lisa Wiseman, MD
• Taylor Wiseman, PA-C
• Alison Wiser, CNC
• Wish Upon a Star Pediatric Therapy PLLC
• David S Wishnew, M.D.

• Diagnostic Radiology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.