Individual provider Active NPI

Amanda M Wiant, MD

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1295989531
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036157689 Issued in IL
Practice address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone
(815) 334-5566
Fax
(815) 759-4008
NPI assigned
Nov 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.123614 OH
Surgery Physician 208600000X 57.015171 OH
Diagnostic Radiology Physician 2085R0202X 036157689 IL Primary

Addresses

Primary practice location

4201 W Medical Center Dr
McHenry, IL 60050-8409

Mailing address

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 334-5566

Other practice location 1

4000 Johnson Rd
Steubenville, OH 43952-2364
Phone (740) 264-8287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KY, IL, WV, MI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20130903000605 PA Practitioner - Diagnostic Radiology 5991948416 Reassigns benefits to 7 organizations
I20230620001733 KY Practitioner - Diagnostic Radiology 5991948416 Reassigns benefits to 1 organization
I20231227000393 IL Practitioner - Diagnostic Radiology 5991948416
I20241108000056 WV Practitioner - Diagnostic Radiology 5991948416 Reassigns benefits to 1 organization
I20260422000387 MI Practitioner - Diagnostic Radiology 5991948416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Radiologists IncGroup PAC ID 0840241907, 25 clinicians
The Bellevue HospitalGroup PAC ID 6800863952, 10 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Practice addresses (Care Compare)

Coraopolis, PA 15108
Phone (740) 348-5545

Sewickley, PA 15143
Phone (918) 392-1702

1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934

454 McDowell St
Welch, WV 24801-2029
Phone (304) 436-8685

Hospital & facility affiliations

  • Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.123614OHMDDiagnostic Radiology Physician
57.015171OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Radiology & Nuclear Consultants LTD Diagnostic Radiology CurrentSince Dec 17, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 13, 2023 Accepting new patients
Southeast Texas Imaging LLP Diagnostic Radiology CurrentSince Sep 12, 2023 Accepting new patients
The Bellevue Hospital CurrentSince Mar 23, 2025 Accepting new patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince Aug 22, 2024 Accepting new patients
Tri-County Radiologists, Inc. Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Mar 24, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 13, 2023 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Past Accepting new patients
Norcal Healthconnect LLC Past Accepting new patients
Sheridan Community Hospital Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

Organizations & group practices 15

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 15

Hospital & facility affiliations 6

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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1295989531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Johnson Rd",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522364",
            "country_code": "US",
            "telephone_number": "740-264-8287",
            "fax_number": "740-264-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIANT",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.123614",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57.015171",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036157689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.