Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith H Wittenberg, MD

Individual provider Diagnostic Radiology Physician · NPI 1154300929

Keith H Wittenberg, MD is a Diagnostic Radiology in Roseville, Minnesota. Graduated from Boston University School of Medicine in 1995, 31 years ago. Practices with Midwest Radiology PA, a 214-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
31
Trained at
Boston University School of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 39459 (MN)

Record details

NPI number1154300929
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address2355 Highway 36 W Ste 100, Roseville, MN 55113-3905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Midwest Radiology Pa — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations41 on file with Medicare

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