Derek Witteman, DO
NPI 1770996779ActiveIndividual· General Practice· San Antonio, TX
General Practice (DO) with Professional Imaging PLLC, practicing in San Antonio, Texas. Enrolled in Medicare as practitioner - general practice and practitioner - general practice.
Overview
| NPI | 1770996779 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 6, 2014 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | S6095 | TX |
| General Practice | 208D00000X | 20A14540 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (CA); Practitioner - General Practice (TX) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | General Practice |
Medical group
- Professional Imaging PLLCHumble, TX · 25 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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