WISAM A. WITWIT M.D. NPI 1750733614

NPI Information

  • NPI: 1750733614
  • Provider Name: WISAM A. WITWIT, M.D.
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 60 MEMORIAL MEDICAL PKWY
    PALM COAST, FL
    ZIP 32164
  • Phone: (386) 586-2000

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NPI Details

Wisam A. Witwit, M.D. is a neuroradiology radiology in Palm Coast, FL with 21 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Wisam A. Witwit, M.D. NPI is 1750733614. 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:

60 MEMORIAL MEDICAL PKWY
PALM COAST, FL
ZIP 32164-980
Phone: (386) 586-2000
Fax: (317) 705-5047

The NPI 1750733614 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.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast (HCPCS:0042T)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ct scan of face without contrast (HCPCS:70486)

The enumeration date for this NPI number is 7/4/2016 and was last updated on 5/9/2023.

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
1207R00000XInternal Medicine4301110641MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32085N0700XRadiologyNeuroradiologyME155790FLORIDAYes

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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