Wisteria Imaging Institute, LLC
NPI 1255113965 · Diagnostic Radiology Physician · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wisteria Imaging Institute, LLC is a Diagnostic Radiology Physician organization in Philadelphia, PA (NPI 1255113965).
Provider details
- NPI number
- 1255113965
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Addo, Owner(860) 262-4489
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-17
- Last updated
- 2023-10-17
- Certified
- 2023-10-16
Frequently asked questions
- What is Wisteria Imaging Institute, LLC's NPI number?
- Wisteria Imaging Institute, LLC's National Provider Identifier (NPI) is 1255113965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wisteria Imaging Institute, LLC?
- Wisteria Imaging Institute, LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Wisteria Imaging Institute, LLC located?
- Wisteria Imaging Institute, LLC's practice location on file with NPPES is 2835 West Cheltenham Ave, Philadelphia, PA 19150.
- What is Wisteria Imaging Institute, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wisteria Imaging Institute, LLC is (860) 262-4489.
- Does Wisteria Imaging Institute, LLC accept Medicare?
- Wisteria Imaging Institute, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wisteria Imaging Institute, LLC?
- The authorized official listed on Wisteria Imaging Institute, LLC's NPPES record is Eric Addo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wisteria Imaging Institute, LLC's NPI active?
- Yes — Wisteria Imaging Institute, LLC's NPI (1255113965) is active in the NPPES registry as of the last update on 2023-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.