WISAM A. WITWIT M.D.
NPI 1750733614
Radiology - Neuroradiology in Palm Coast, FL

Active since July 04, 2016PECOS EnrolledAccepts Medicare Assignment
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164(386) 586-2000(317) 705-5047 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 9, 2023, Aug 3, 2022, May 10, 2021 (3 updates tracked since 2021).

About Wisam A. Witwit M.d. NPPES

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

WISAM A. WITWIT M.D. (NPI 1750733614) is an individual neuroradiology provider in Palm Coast, Florida, licensed in Florida (ME155790) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1750733614
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameWISAM A. WITWITCredential: M.D.
Location Address60 MEMORIAL MEDICAL PKWYPalm Coast, FL 32164-5980
Mailing Address60 Memorial Medical PkwyPalm Coast, FL 32164-5980 · (386) 586-2000 · Fax (317) 705-5047
Fax(317) 705-5047
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 4, 2016
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
NPI 1750733614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License Licensed in FL · ME155790
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301110641 (MI)
60 MEMORIAL MEDICAL PKWY, Palm Coast, FL 32164

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Wisam A. Witwit M.d. 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.

PECOS PAC ID4981981826
PECOS Enrollment IDI20220809003514, I20230421002177
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
949 services918 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
333 services331 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
203 services200 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
199 services196 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
195 services192 patients
Ct scan of lower spine without contrast 72131
A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
105 services105 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

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.

Radiology (Diagnostic Radiology)
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Psychiatry & Neurology (Neurology)
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Emergency Medicine
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Emergency Medicine
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Physician Assistant
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Emergency Medicine
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Dietitian, Registered
60 MEMORIAL MEDICAL PKWY, FOOD AND NUTRITION DEPARTMENT
PALM COAST, FL 32164
Nurse Practitioner
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164

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 Wisam Witwit's NPI number?

The NPI number for Wisam Witwit is 1750733614. It was assigned to this individual provider in the NPPES registry on July 4, 2016.

Where is Wisam Witwit located?

Wisam Witwit practices at 60 Memorial Medical Pkwy, Palm Coast, FL 32164. The listed phone number is (386) 586-2000.

What is Wisam Witwit's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Wisam Witwit enrolled in Medicare?

Yes. Wisam Witwit 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.

What insurance does Wisam Witwit accept?

Health plans from Wellpoint list Wisam Witwit 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.

Is Wisam Witwit affiliated with any hospitals?

According to CMS data, Wisam Witwit is affiliated with Adventhealth Orlando, Adventhealth Deland, Adventhealth Waterman, Adventhealth Daytona Beach and Adventhealth Fish Memorial.

When was this NPI record last updated?

The NPPES record for Wisam Witwit was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.