Individual provider Active NPI

William Edward Stutzman

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1942761556
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD485960 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-4000
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 MD485960 PA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce Street
1 Silverstein
Philadelphia, PA 19104-4261
Phone (609) 468-8187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, MD3 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
I20241002000060 PA Practitioner - Diagnostic Radiology 1456682442 Reassigns benefits to 1 organization
I20250829002701 DC Practitioner - Diagnostic Radiology 1456682442 Reassigns benefits to 1 organization
I20250829003107 MD Practitioner - Diagnostic Radiology 1456682442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 620
Bethesda, MD 20817-1184
Phone (888) 601-0943

11120 New Hampshire Ave
Suite 100And105
Silver Spring, MD 20904-2678
Phone (888) 601-0943

1401 Rockville Pike
Suite 150
Rockville, MD 20852-1402
Phone (888) 601-0943

14999 Health Ctr Dr
Suite 102
Bowie, MD 20716-1075
Phone (888) 601-0943

15225 Shady Grove Rd
Suite 105
Rockville, MD 20850-3201
Phone (888) 601-0943

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (888) 601-0943

18103 Prince Philip Dr
Olney, MD 20832-1514
Phone (888) 601-0943

19851 Observation Dr
Suite 155
Germantown, MD 20876-4142
Phone (888) 601-0943

20528 Boland Farm Rd
Suite 110
Germantown, MD 20876-4032
Phone (888) 601-0943

3280 Urbana Pike
Suite 105
Ijamsville, MD 21754-9411
Phone (888) 601-0943

4000 Mitchellville Rd
Suite A100
Bowie, MD 20716-3123
Phone (888) 601-0943

504 E Ridgeville Blvd
Suite 130
Mount Airy, MD 21771-5942
Phone (888) 601-0943

7140 Contee Rd
Suite 2000
Laurel, MD 20707-9527
Phone (443) 436-1666

7211 Bank CT
Suite 100
Frederick, MD 21703-2807
Phone (888) 601-0943

7501 Greenway Ctr Dr
Suite 200And510
Greenbelt, MD 20770-3514
Phone (888) 601-0943

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (888) 601-0943

8926 Woodyard Rd
Suite 301 and 401
Clinton, MD 20735-4232
Phone (888) 601-0943

950 Harry S Truman Dr N
Suite 150
Upper Marlboro, MD 20774-5477
Phone (888) 601-3664

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince Sep 9, 2024 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 9, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

6887 Woodridge Rd
New Market, MD 21774

10461 Mill Run Cir
Ste 1020
Owings Mills, MD 21117

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

Organizations & group practices 9

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1942761556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "address_2": "1 SILVERSTEIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044261",
            "telephone_number": "609-468-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD485960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.