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WILLIAM C PETTY M.D. NPI 1073565008


NPI Information

NPI: 1073565008
Provider Name: WILLIAM C PETTY, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2200 RANDALLIA DR
FORT WAYNE, IN
ZIP 46805
Phone: (260) 373-4000
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William C Petty, M.D. is a diagnostic radiology radiology in Fort Wayne, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. William C Petty, M.D. NPI is 1073565008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 RANDALLIA DR
FORT WAYNE, IN
ZIP 46805-638
Phone: (260) 373-4000

The NPI 1073565008 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mammography of both breasts (HCPCS:77067)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan chest (HCPCS:71250)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Ct scan head or brain (HCPCS:70450)

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology01038794INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11696OTHERINDIANAPHP
22100621MEDICAIDOHIO
3190320NMEDICARE ID-TYPE UNSPECIFIEDINDIANA
4925240IMEDICARE ID-TYPE UNSPECIFIEDINDIANA
5163520MMEDICARE ID-TYPE UNSPECIFIEDINDIANA
6924750FMEDICARE ID-TYPE UNSPECIFIEDINDIANA
7194930KMEDICARE ID-TYPE UNSPECIFIEDINDIANA
8PE4111641MEDICARE ID-TYPE UNSPECIFIEDOHIO
9000000092611OTHERINDIANAANTHEM
104074933100MEDICAIDMICHIGAN
11C43627MEDICARE UPININDIANA
12191150SMEDICARE ID-TYPE UNSPECIFIEDINDIANA
13147380OMEDICARE ID-TYPE UNSPECIFIEDINDIANA
14055740OMEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.