DR. ADAM WISE MD
NPI 1356090534
Family Medicine in Berwyn, IL
About Dr. Adam Wise Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADAM WISE MD (NPI 1356090534) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (125080835) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital-jordan Valley, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Adam Wise Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Adam Wise reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
- 856 clinicians in this Medicare group
Milwaukee, WI 53211
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Neenah, WI 54956
- Reassigned Medicare billing, Wisconsin enrollment
- 444 clinicians in this Medicare group
Murray, UT 84117
- Reassigned Medicare billing, Utah enrollment
- 271 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital-Jordan Valley
Acute Care Hospitals · West Jordan, UTAscension St Francis Hospital
Acute Care Hospitals · Milwaukee, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BERWYN, IL 60402
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 Adam Wise's NPI number?
The NPI number for Adam Wise is 1356090534. It was assigned to this individual provider in the NPPES registry on March 23, 2022.
Where is Adam Wise located?
Adam Wise practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (740) 438-8789.
What is Adam Wise's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Adam Wise enrolled in Medicare?
Yes. Adam Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Adam Wise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Wise reassigns Medicare benefits to 4 organizations: Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI) and Utah Regional Hospitalists LLC (Murray, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Wise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Adam Wise affiliated with any hospitals?
According to CMS data, Adam Wise is affiliated with Holy Cross Hospital-Jordan Valley, Ascension St Francis Hospital and Ascension SE Wisconsin Hospital.
When was this NPI record last updated?
The NPPES record for Adam Wise was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Adam Wise, MD · NPI 1356090534
Family Medicine physician in Berwyn, Illinois. Individual provider, active in the CMS NPPES registry since March 23, 2022.
## Identity
- **NPI:** 1356090534 (Entity type: Individual)
- **Enumerated:** March 23, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 125080835 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3249 OAK PARK AVE, Berwyn, IL 60402-3429
- **Phone:** (740) 438-8789
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Columbia St. Mary's Hospital Milwaukee, Inc (NPI 1023064482, Milwaukee, WI); Ascension Medical Group-Southeast Wisconsin Inc (NPI 1194473066, Milwaukee, WI); Ascension Medical Group-Fox Valley Wisconsin, Inc (NPI 1730126392, Neenah, WI); Utah Regional Hospitalists LLC (NPI 1962821223, Murray, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356090534) · Data from the CMS NPPES public registry.