Individual provider Active NPI

Frederick Marshall Wittber, MD

  • Diagnostic Radiology Physician
  • Newport News, VA
National Provider Identifier
1518196195
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD0000051322 Issued in TN
Practice address
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone
(757) 594-2041
Fax
(757) 594-3245
NPI assigned
Jul 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD0000051322 TN Primary

Addresses

Primary practice location

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

Mailing address

500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-2041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141003000033 TN Practitioner - Diagnostic Radiology 5991925521 Reassigns benefits to 1 organization
I20231129002309 AR Practitioner - Diagnostic Radiology 5991925521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

Practice addresses (Care Compare)

1601 New Castle Rd
Forrest City, AR 72335-2218
Phone (870) 261-0225

200 S Rhodes St
Suite B
West Memphis, AR 72301-4213
Phone (870) 735-5555

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191

900 W Kingshighway
Paragould, AR 72450-5942
Phone (870) 239-7101

Hospital & facility affiliations

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
MD0000051322TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
USA Radiology of Pennsylvania, LLC Past Accepting new patients

Locations

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

10 Little Brook Rd
West Wareham, MA 02576

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

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 5

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": "1246752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1518196195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-2041",
            "fax_number": "757-594-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-2041",
            "fax_number": "757-594-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTBER",
        "first_name": "FREDERICK",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-05",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000051322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.