DENISE KATHLEEN WISE M.D. NPI 1184634586

NPI Information

  • NPI: 1184634586
  • Provider Name: DENISE KATHLEEN WISE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 5TH AVE
    SUITE 400
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 924-1999

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NPI Details

Denise Kathleen Wise, M.D. is a diagnostic radiology radiology in Fort Worth, TX with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Denise Kathleen Wise, M.D. NPI is 1184634586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

800 5TH AVE
SUITE 400
FORT WORTH, TX
ZIP 76104-300
Phone: (817) 924-1999
Fax: (817) 886-0881

The NPI 1184634586 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.

  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of both breasts (HCPCS:77066)

The enumeration date for this NPI number is 8/8/2006 and was last updated on 2/11/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA74394CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyK3002TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104612003MEDICAIDTEXAS
2G77896MEDICARE UPIN
300A743940MEDICAIDCALIFORNIA
4P00413755MEDICARE PINTEXAS
500A743940MEDICARE ID-TYPE UNSPECIFIED
6104612005MEDICAIDTEXAS
78J7057MEDICARE PINTEXAS
88J7056MEDICARE PINTEXAS

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: 11/21/2025

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