Active NPI
Amanda M Wiant, MD
- Diagnostic Radiology Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036157689
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- Bellevue Hospital
- Olympic Medical Center
- Providence Santa Rosa Memorial Hospital
- Peacehealth Southwest Medical Cente
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 35.123614 | OH | MD | Diagnostic Radiology Physician |
| 57.015171 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Nuclear Consultants LTD | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Southeast Texas Imaging LLP | Diagnostic Radiology | Current | Accepting new patients |
| The Bellevue Hospital | Current | Accepting new patients | |
| Appalachian Mountains Medical, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tri-County Radiologists, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Great Lakes Radiology Services | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | 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.
-
- Emergency Medicine Physician
- Welch, WV
- NPI 1881023117
Diagnostic Radiology
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Diagnostic Radiology Physician
- Santa Rosa, CA
- NPI 1740982032
PA
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1083491906
PA
-
- Emergency Medicine Physician
- Sheridan, MI
- NPI 1528090594
-
- Diagnostic Radiology Physician
- Palos Heights, IL
- NPI 1376535815
-
- Nurse Practitioner
- Nicholasville, KY
- NPI 1255805586
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Bellevue, OH
- NPI 1134161623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.