Active NPI
Scott W Wise, MD
- Diagnostic Radiology Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD055460L
- Practice address
- 4518 Union Deposit Rd
Harrisburg, PA 17111-2921 - Phone
- (717) 652-5840
- Fax
- (717) 652-8152
- NPI assigned
- Aug 30, 2005
- Last updated
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD055460L | PA | Primary |
Addresses
Primary practice location
4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Mailing address
4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone (717) 652-6105
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689667180026 | Medicaid | PA | |
| 16896671800022 | Medicaid | PA | |
| 16896671800009 | Medicaid | PA | |
| 1689667180024 | Medicaid | PA | |
| 0015263770007 | Medicaid | PA | |
| 300107022 | Other | PA | RAILROAD MEDICARE |
| 16896671800027 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Penn State Health Medical Group LLC
Practice addresses (Care Compare)
Bonita Springs, FL 34135
Phone (515) 226-9810
12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 226-9810
17900 100TH Ave
Indianola, IA 50125-7291
Phone (717) 531-4094
27221 Galleon Dr
Bonita Springs, FL 34135-4442
Phone (515) 226-2122
4520 Union Deposit Rd
Harrisburg, PA 17111-2910
Phone (717) 531-4094
500 Universidy Dr
Hershey, PA 17033-2360
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
- Penn State Health St. Joseph
- Penn State Health Lancaster Medical Center
- Milton S Hershey Medical Center
- Penn State Health Hampden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Radiology, P C | Diagnostic Radiology | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physician Group | Diagnostic Radiology | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Iowa Diagnostic Imaging & Procedure Center, L C | Diagnostic Radiology | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Past | Accepting new patients |
Locations (25 of 37)
3625 N Ankeny Blvd
Ste H
Ankeny, IA 50023
909 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 963-4400
515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1221 Pleasant St
Ste 350
Des Moines, IA 50309
12368 Stratford Dr
Ste 300
Des Moines, IA 50325
Phone (515) 228-9810
3714 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 279-6424
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200
701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311
1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114
1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171
640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111
800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184
606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501
211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105
1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030
1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250
4200 University Ave
Ste 104
West Des Moines, IA 50266
Phone (515) 961-0453
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
dba Iowa Radiology, P.C.
- Diagnostic Radiology Physician
- Clive, IA
- NPI 1528026481
FL
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
IA
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Family Medicine Physician
- Lancaster, PA
- NPI 1972032761
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
Diagnostic Radiology
-
dba Penn State Health Medical Group - Pulmonary and Critical Care Medicine
- Pulmonary Disease Physician
- Lemoyne, PA
- NPI 1801433149
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Enola, PA
- NPI 1164029658
-
- General Acute Care Hospital
- Lancaster, PA
- NPI 1013674266
-
dba Penn State Health St Joseph
- General Acute Care Hospital
- Reading, PA
- NPI 1699734665
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
-
dba Iowa Lutheran Hospital
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
dba Iowa Methodist Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
dba Iowa Methodist Medical Center-Methodist West
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1689667180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171112910",
"telephone_number": "717-652-6105",
"fax_number": "717-652-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4518 UNION DEPOSIT RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171112921",
"telephone_number": "717-652-5840",
"fax_number": "717-652-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "SCOTT",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD055460L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689667180026",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16896671800022",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16896671800009",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689667180024",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015263770007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300107022",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16896671800027",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.