Individual provider Active NPI

Cheryl Dewitt, MD

  • Diagnostic Radiology Physician
  • Huntsville, AL
National Provider Identifier
1366567737
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34568 Issued in AL
Practice address
2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551
Phone
(256) 539-0457
Fax
(256) 539-5827
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 2012-00508 NC
Diagnostic Radiology Physician 2085R0202X 34568 AL Primary

Addresses

Primary practice location

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551

Mailing address

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551
Phone (256) 539-0457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NJ, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171219002948 TN Practitioner - Diagnostic Radiology 5597920959 Reassigns benefits to 4 organizations
I20230919002303 NJ Practitioner - Diagnostic Radiology 5597920959 Reassigns benefits to 2 organizations
I20251126002426 NY Practitioner - Diagnostic Radiology 5597920959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Radiology Associates of Ridgewood P aGroup PAC ID 1254303332, 17 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

1220 Hicksville Rd
Seaford, NY 11783-1604
Phone (516) 266-3456

1333 Heroes Way
Riverhead, NY 11901-2029
Phone (631) 727-2755

20 Franklin Tpke
Waldwick, NJ 07463-1749
Phone (201) 445-8822

333 W Depot Ave
Apt 203
Knoxville, TN 37917-7558
Phone (201) 445-8822

4020 Sanford Dr
Johnson City, TN 37601-1056
Phone (516) 405-7080

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34568ALMDDiagnostic Radiology Physician
2012-00508NCMDDiagnostic Radiology Physician
338972NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Jan 31, 2023 Accepting new patients
University Diagnostics, LLC Diagnostic Radiology CurrentSince Mar 1, 2023 Accepting new patients
Valley Physician Services PC CurrentSince Sep 2, 2025 Accepting new patients
Radiology Associates of Ridgewood P a CurrentSince Sep 15, 2023 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Dec 1, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

20 Franklin Tpke
Waldwick, NJ 07463
Phone (201) 445-3040

300 Community Dr
Plandome, NY 11030

1333 Heroes Way
Riverhead, NY 11901
Phone (631) 727-2755

1220 Hicksville Rd
Seaford, NY 11783

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1366567737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014551",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014551",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "CHERYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2012-00508",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "34568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.