Individual provider Active NPI

Willis Huang, M.D. PHD

  • Diagnostic Radiology Physician
  • San Jose, CA
National Provider Identifier
1568655462
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A98053 Issued in CA
Practice address
2281 Paragon Dr
Robin Montgomery, Credentialing Manager Nci/Vri
San Jose, CA 95131-1307
Phone
(408) 961-2649
Fax
(408) 244-6596
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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 A98053 CA Primary

Addresses

Primary practice location

2281 Paragon Dr
Robin Montgomery, Credentialing Manager Nci/Vri
San Jose, CA 95131-1307

Mailing address

2281 Paragon Dr
Robin Montgomery, Credentialing Manager Nci/Vri
San Jose, CA 95131-1307
Phone (408) 961-2649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN, AR3 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
I20100817000457 CA Practitioner - Diagnostic Radiology 0042344707 Reassigns benefits to 1 organization
I20241112000058 TN Practitioner - Diagnostic Radiology 0042344707 Reassigns benefits to 1 organization
I20250414001328 AR Practitioner - Diagnostic Radiology 0042344707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Specialists PLLCGroup PAC ID 0143218560, 39 clinicians
Orthoarkansas PAGroup PAC ID 1456256031, 148 clinicians

Practice addresses (Care Compare)

750 Old Hickory Blvd
Suite 1 260
Brentwood, TN 37027-4528
Phone (615) 376-7500

800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (501) 500-3500

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
85
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98053CAMDMarriage & Family Therapist
A98053CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthoarkansas, PA CurrentSince Apr 4, 2025 Accepting new patients
Imaging Specialists PLLC Diagnostic Radiology CurrentSince Sep 30, 2024 Accepting new patients
Valley Radiology Medical Associates, Inc. CurrentSince Nov 30, 2011 Accepting new patients
Orthoarkansas, PA CurrentSince Apr 4, 2025 Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

340 Dardanelli Ln
Ste 11A
Los Gatos, CA 95032
Phone (408) 248-6912

2281 Paragon Dr
San Jose, CA 95131
Phone (408) 244-2100

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1568655462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 PARAGON DR",
            "address_2": "ROBIN MONTGOMERY, CREDENTIALING MANAGER NCI/VRI",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311307",
            "telephone_number": "408-961-2649",
            "fax_number": "408-244-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 PARAGON DR",
            "address_2": "ROBIN MONTGOMERY, CREDENTIALING MANAGER NCI/VRI",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311307",
            "telephone_number": "408-961-2649",
            "fax_number": "408-244-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "M.D. PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A98053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.