KEITH H WITTENBERG (MD) – Diagnostic Radiology Physician, NPI 1154300929
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
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Provider Addresses for KEITH H WITTENBERG (MD)
166, East 4th Street, Downtown, Saint Paul, Ramsey County, Minnesota, 55101, United States
SAINT PAUL, MN 551011421
Phone: (651) 292-2043
Fax: (651) 292-2204
Type: Mailing
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 551133905
Phone: (651) 292-2000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040804001860 | I | Diagnostic Radiology | ND | TBD |
| I20050524001210 | I | Diagnostic Radiology | WI | TBD |
| I20080530000327 | I | Diagnostic Radiology | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 73030 | X-ray of shoulder, minimum of 2 views | 519 | 410 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 506 | 357 | $0 |
| 73562 | X-ray of knee, 3 views | 465 | 336 | $0 |
| 73560 | X-ray of knee, 1-2 views | 416 | 355 | $0 |
| 73502 | X-ray of hip, 2-3 views | 415 | 385 | $0 |
Insurance plans in this area (ZIP 55101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 71010 | X-ray of chest, 1 view, front | 269 | 249 |
| DIAGNOSTIC RADIOLOGY | MN | 73630 | X-ray of foot, minimum of 3 views | 28 | 25 |
| DIAGNOSTIC RADIOLOGY | MN | 74177 | CT scan of abdomen and pelvis with contrast | 48 | 48 |
| DIAGNOSTIC RADIOLOGY | MN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Diagnostic Radiology | WI | |
| - | MN | |
| - | MN | |
| - | MN | |
| Physician Assistant | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| - | MN | |
| Diagnostic Radiology | MN |
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