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WILLIAM C PETTY M.D.
NPI 1073565008
Radiology - Diagnostic Radiology in Fort Wayne, IN

Active since May 17, 2006
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William C Petty M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM C PETTY M.D. (NPI 1073565008) is an individual diagnostic radiology provider in Fort Wayne, Indiana, licensed in Indiana (01038794) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1073565008
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameWILLIAM C PETTYCredential: M.D.
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address3707 New Vision DrFort Wayne, IN 46845-1702 · (260) 471-9466
Phone(260) 373-4000
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073565008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01038794
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2200 RANDALLIA DR, Fort Wayne, IN 46805
Open in Google Maps ↗

Other Identifiers 14

Other1696IN · Php
Medicaid2100621OH
Medicare ID-Type Unspecified190320NIN
Medicare ID-Type Unspecified925240IIN
Medicare ID-Type Unspecified163520MIN
Medicare ID-Type Unspecified924750FIN
Medicare ID-Type Unspecified194930KIN
Medicare ID-Type UnspecifiedPE4111641OH
Other000000092611IN · Anthem
Medicaid4074933100MI
Medicare UPINC43627IN
Medicare ID-Type Unspecified191150SIN
Medicare ID-Type Unspecified147380OIN
Medicare ID-Type Unspecified055740OIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%598 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%411 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%31 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLIKA GYAWALI MD
Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
CHRISTINA MCGUIRK
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MS. KARI M RASMUSSEN PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MR. THOMAS G EDWARDS PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (800) 727-8439
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 266-4172
DAVID R WANG DO, MPH
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-7765
CHELSIE MCSORLEY NP
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-0670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Petty's NPI number?

The NPI number for William Petty is 1073565008. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is William Petty located?

William Petty practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-4000.

What is William Petty's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does William Petty accept?

Health plans from CareSource list William Petty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Petty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.