Individual provider Active NPI

Anthony J Willis, M.D.

  • Diagnostic Radiology Physician
  • Huntingdon, PA
National Provider Identifier
1972866911
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD461819 Issued in PA
Practice address
8488 Speranza LN
Huntingdon, PA 16652-4242
Phone
(800) 466-4723
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT202140 PA
Diagnostic Radiology Physician 2085R0202X 55566 TN
Diagnostic Radiology Physician 2085R0202X 0101268353 VA
Diagnostic Radiology Physician 2085R0202X MD600004211 DC
Diagnostic Radiology Physician 2085R0202X MD461819 PA Primary

Addresses

Primary practice location

8488 Speranza LN
Huntingdon, PA 16652-4242

Mailing address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Phone (208) 416-2932

Other practice location 1

1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, WI, TX, FL, DC, MI, MA8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20170906001143 PA Practitioner - Diagnostic Radiology 4688947120 Reassigns benefits to 30 organizations
I20230822003788 NY Practitioner - Diagnostic Radiology 4688947120 Reassigns benefits to 3 organizations
I20231030001447 WI Practitioner - Diagnostic Radiology 4688947120 Reassigns benefits to 10 organizations
I20240219000122 TX Practitioner - Diagnostic Radiology 4688947120 Reassigns benefits to 2 organizations
I20240227004550 FL Practitioner - Diagnostic Radiology 4688947120 Reassigns benefits to 4 organizations
I20250608000070 DC Practitioner - Diagnostic Radiology 4688947120 Reassigns benefits to 1 organization
I20250627003532 MI Practitioner - Diagnostic Radiology 4688947120 Reassigns benefits to 6 organizations
I20251001000624 MA Practitioner - Diagnostic Radiology 4688947120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Langlade Hospital - Hotel Dieu of St Joseph of Antigo WisconsinGroup PAC ID 1557271202, shared by 7 NPIs, 86 clinicians
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, shared by 9 NPIs, 126 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians
Maimonides Medical Center - MMC Radiology FPPGroup PAC ID 1456241447, 56 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians
Diagnostic Radiologists PCGroup PAC ID 4183510902, 16 clinicians
Pratt Radiology Associates IncGroup PAC ID 8820989411, 53 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians

Practice addresses (Care Compare)

Huntingdon, PA 16652
Phone (800) 737-5654

112 E 5TH Ave
Antigo, WI 54409-2710
Phone (715) 623-2331

1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

1400 W Ice Lake Rd
Aspirus Iron River Hospital
Iron River, MI 49935-9526
Phone (906) 265-6121

2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6158

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

6940 Van Camp Rd
Girard, PA 16417-8502
Phone (503) 251-6855

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

8488 Speranza LN
Huntingdon, PA 16652-4242
Phone (407) 200-2355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT202140PAMDInternal Medicine Physician
MD600004211DCMDDiagnostic Radiology Physician
MD461819PAMDDiagnostic Radiology Physician
55566TNMDDiagnostic Radiology Physician
0101268353VAMDDiagnostic Radiology Physician

Practice roles (60 of 64)

OrganizationSpecialtyStatusNew patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Dec 12, 2024 Accepting new patients
Maimonides Faculty Practice Plan Internal Medicine CurrentSince Aug 14, 2023 Accepting new patients
Enloe Medical Center CurrentSince May 7, 2020 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Keweenaw CurrentSince Jun 23, 2025 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Nov 24, 2019 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 26, 2024 Accepting new patients
Florida Hospital Physician Group Inc Family Medicine CurrentSince Apr 14, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Benefis Hospitals Inc CurrentSince Jul 1, 2021 Accepting new patients
Pratt Radiology Associates, Inc Diagnostic Radiology CurrentSince Oct 8, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine CurrentSince Jun 23, 2025 Accepting new patients
Medical Faculty Associates, Inc Internal Medicine CurrentSince Apr 8, 2025 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Family Medicine Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jun 23, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 2, 2024 Accepting new patients
Aspirus Keweenaw CurrentSince Jun 23, 2025 Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Dec 24, 2025 Accepting new patients
Stamford Health Medical Group Inc Family Medicine CurrentSince Oct 20, 2020 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Family Medicine Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Diagnostic Radiology CurrentSince Dec 15, 2019 Accepting new patients
Columbus Radiology Physicians LLC Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Divine Savior Healthcare, Inc. Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Feb 26, 2024 Accepting new patients
DHHS IHS Phoenix Area Family Medicine CurrentSince Jan 17, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 23, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Diagnostic Radiology CurrentSince Feb 26, 2024 Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Jul 22, 2024 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Direct Radiology PLLC Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
CMSC, LLC CurrentSince Feb 5, 2024 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Nov 1, 2023 Accepting new patients
SHPS, PLLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Acadiana Radiology Group Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Unc Physicians Network LLC Family Medicine CurrentSince Oct 7, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Family Medicine CurrentSince Jun 23, 2025 Accepting new patients
Oroville Hospital CurrentSince May 26, 2020 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Enloe Medical Center CurrentSince May 7, 2020 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Beverly Radiology Associates, Inc. Diagnostic Radiology CurrentSince Feb 16, 2025 Accepting new patients
White Plains Physician Services PC Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Aug 14, 2023 Accepting new patients
Wayne Radiologists, P.a. CurrentSince Dec 1, 2020 Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Boise Ultrasound Company LLP CurrentSince Apr 28, 2021 Accepting new patients
Mountain Medical Physician Specialists PC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients

Locations (25 of 49)

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 532-5848

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1200 Pecan St SE
Washington, DC 20032
Phone (610) 382-4422

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

2265 E Sunnyside Rd
Idaho Falls, ID 83404

29980 Network Pl
Chicago, IL 60673

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

10 Little Brook Rd
West Wareham, MA 02576

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: awillis1157807@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 70

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.

View all 70

Hospital & facility affiliations 6

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1972866911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "208-416-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8488 SPERANZA LN",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166524242",
            "telephone_number": "800-466-4723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Pecan St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200322652",
            "country_code": "US",
            "telephone_number": "771-444-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT202140",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "55566",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101268353",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD600004211",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD461819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.