Individual provider Active NPI

Tutasi K Waters, M.D.

  • Obstetrics & Gynecology Physician
  • North Easton, MA
National Provider Identifier
1073539334
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
205083 Issued in MA
Practice address
2 Washington St Ste 210
North Easton, MA 02356-1011
Phone
(508) 894-8750
Fax
(508) 894-8752
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 205083 MA Primary

Addresses

Primary practice location

2 Washington St Ste 210
North Easton, MA 02356-1011

Mailing address

680 Centre St
Credentialing Department
Brockton, MA 02302-3308
Phone (508) 941-7009

Other identifiers 1

IdentifierTypeStateIssuer
0110540MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091026000035 MA Practitioner - Obstetrics/Gynecology 7911044953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Harvard Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Signature Healthcare Medical Group IncGroup PAC ID 7719876267, 250 clinicians

Practice addresses (Care Compare)

31 Roche Bros Way
North Easton, MA 02356-1032
Phone (508) 894-8730

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
205083MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Massachusetts - Direct, P.C. CurrentSince Apr 21, 2024 Accepting new patients
Brockton Hospital, Inc. CurrentSince Jan 2, 2003 Accepting new patients
Brockton Hospital, Inc. CurrentSince Jan 2, 2003 Accepting new patients
Women's Health Affiliates, Inc. Obstetrics & Gynecology Past Accepting new patients
Obhg Massachusetts PC Obstetrics & Gynecology Past Accepting new patients
South Shore Hospital Inc. Past Accepting new patients

Locations

650 Centre St
Brockton, MA 02302
Phone (508) 580-8682

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

31 Roche Brothers Way
North Easton, MA 02356
Phone (508) 894-8730

Interoperability endpoints

  • Direct secure messaging: tutasi.waters@direct.signature.masshiway.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1073539334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7009",
            "fax_number": "508-583-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST STE 210",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561011",
            "telephone_number": "508-894-8750",
            "fax_number": "508-894-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TUTASI",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "205083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110540",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.