Individual provider Active NPI

Scott W Wise, MD

  • Diagnostic Radiology Physician
  • Harrisburg, PA
National Provider Identifier
1689667180
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD055460L Issued in PA
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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 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

IdentifierTypeStateIssuer
1689667180026MedicaidPA
16896671800022MedicaidPA
16896671800009MedicaidPA
1689667180024MedicaidPA
0015263770007MedicaidPA
300107022OtherPARAILROAD MEDICARE
16896671800027MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IA, FL3 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
I20070224000098 PA Practitioner - Diagnostic Radiology 3577665314 Reassigns benefits to 2 organizations
I20230330001238 IA Practitioner - Diagnostic Radiology 3577665314 Reassigns benefits to 3 organizations
I20250501000216 FL Practitioner - Diagnostic Radiology 3577665314 Reassigns benefits to 2 organizations

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
Iowa Diagnostic Imaging and Procedure Center, L CGroup PAC ID 1658263546, 36 clinicians
Iowa Radiology P CGroup PAC ID 2264323468, 37 clinicians
Penn State Health Medical Group LLCGroup PAC ID 8729351077, shared by 2 NPIs, 720 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Iowa Radiology, P C Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
The Milton S Hershey Medical Center Physician Group Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Penn State Health Medical Group, LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Iowa Diagnostic Imaging & Procedure Center, L C Diagnostic Radiology CurrentSince May 1, 2025 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 CurrentSince Mar 1, 2019 Accepting new patients
Penn State Health Medical Group, LLC PastSince Dec 9, 2019 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.