Fidaa J M Wishah, M.D

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

License

58073 Issued in AZ

Practice address

1919 E Thomas Rd
Phoenix, AZ 85016

Phone

(602) 933-1213

Fax

(602) 933-1214

NPI assigned

Nov 18, 2010

Last updated

Jan 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, FL, TX, AR4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Childrens Professional Services Organization LLCGroup PAC ID 4688183148, 180 clinicians

Partners in Imaging IncGroup PAC ID 6901886092, 9 clinicians

El Paso Imaging Consultants PLLCGroup PAC ID 2860668845, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• El Paso Children's Hospital Hospital, El Paso, TX, CCN 453313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 27)

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.

• Arkansas Childrens Professional Services Organization LLC

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1629889464
  Medicare reassignment Care Compare group NPD
• El Paso Imaging Consultants PLLC

  • Diagnostic Radiology Physician
  • El Paso, TX
  • NPI 1881981272
  Medicare reassignment Care Compare group NPD
• Partners in Imaging Inc

  dba Unique Imaging

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1356441448
  Medicare reassignment Care Compare group NPD
• Phoenix Children's Hospital

  dba Phoenix Children's Medical Group

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1922112044
  Medicare reassignment NPD
• Arkansas Childrens Hospital

  dba ACH Physicians Billing Group

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1598773079
  Medicare reassignment NPD
• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment NPD
• Baxter County Regional Hospital Inc

  dba BRMC Professional Fees

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921

  AZ

  Medicare reassignment NPD
• Coastal Imaging Associates, PLLC

  • Diagnostic Radiology Physician
  • Beaumont, TX
  • NPI 1952833717

  AZ

  Medicare reassignment NPD
• Maverick County Rural Radiologists P a

  • Diagnostic Radiology Physician
  • Eagle Pass, TX
  • NPI 1437117181

  AZ

  Medicare reassignment NPD
• Merit Radiology PLLC

  • Diagnostic Radiology Physician
  • Carrollton, TX
  • NPI 1326819145
  Medicare reassignment NPD
• North Oaks Medical Center, LLC

  dba Hospital Based Physicians - Radiologists

  • Diagnostic Radiology Physician
  • Hammond, LA
  • NPI 1164785648

  AZ

  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  dba Childrens University Medical Group

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1346230968

  Diagnostic Radiology

  Medicare reassignment NPD

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

• El Paso Children's Hospital Corporation

  • Children's Hospital
  • El Paso, TX
  • NPI 1558659714
  Care Compare affiliation

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1285936518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E CAMELBACK RD STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182327",
            "telephone_number": "602-933-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-933-1213",
            "fax_number": "602-933-1214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "94305",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "94305",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Way # 104",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722023500",
            "country_code": "US",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-4082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISHAH",
        "first_name": "FIDAA",
        "middle_name": "J M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A153510",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "AZ",
            "license": "58073",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A153510",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-15973",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC CARE",
            "identifier": "000999512",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Noel Wisely, WHNP
• Anthony M Wiseman, PHARM.D.
• Jason T. Wiseman, MD, MSPH
• Wisemind Wellness, LLC
• Amber Wiser, PT, ATC
• David Wisinger, MD
• Linda Wiskerchen, COUNSELOR
• Rebecca Renee Wiskirchen
• Enrique Gabriel Wismann, DMD
• Wisteria Mental Health & Wellness Center PLLC

• Pediatric Radiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.