NPIMap

Individual provider Active NPI

Birgit Wiswe, MD

  • Family Medicine Physician
  • Collegeville, PA
National Provider Identifier
1376515122
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD046620L Issued in PA
Practice address
555 2ND Ave
Suite C300
Collegeville, PA 19426-3600
Phone
(610) 454-7750
Fax
(610) 454-1367
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD046620L PA Primary

Addresses

Primary practice location

555 2ND Ave
Suite C300
Collegeville, PA 19426-3600

Mailing address

1601 Medical Dr
Pottstown, PA 19464-3241
Phone (610) 327-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000916 PA Practitioner - Family Practice 8022108950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

555 2ND Ave
Suite 300 Collegeville Family Practice
Collegeville, PA 19426-3600
Phone (610) 454-7750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD046620LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Medical Specialists Inc Family Medicine CurrentSince Nov 10, 2022 Accepting new patients

Locations

555 Second Ave
Ste C-300
Collegeville, PA 19426
Phone (610) 454-7750

555 Second Ave
Ste 300
Collegeville, PA 19426
Phone (610) 454-7750

1601 Medical Dr
Pottstown, PA 19464
Phone (610) 327-4200

1566 Medical Dr
Ste 104
Pottstown, PA 19464
Phone (484) 945-0075

Interoperability endpoints

  • Direct secure messaging: birgitwiswe@pmsi.allscriptsdirect.net

Organizations & group practices 2

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 8

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1376515122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643241",
            "telephone_number": "610-327-4200",
            "fax_number": "610-327-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 2ND AVE",
            "address_2": "SUITE C300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-454-7750",
            "fax_number": "610-454-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISWE",
        "first_name": "BIRGIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD046620L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.