Individual provider Active NPI

Aaron T Watters, MD

  • Family Medicine Physician
  • Emporia, KS
National Provider Identifier
1093717381
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-24915 Issued in KS
Practice address
708 Commercial St
Emporia, KS 66801
Phone
(620) 263-3777
Fax
(620) 263-3774
NPI assigned
Jun 1, 2005
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-24915 KS Primary

Addresses

Primary practice location

708 Commercial St
Emporia, KS 66801

Mailing address

708 Commercial St
Emporia, KS 66801
Phone (620) 263-3777

Other identifiers 1

IdentifierTypeStateIssuer
100155140BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.88 of 100Reported as group
Quality
90.08
Improvement activities
40
Cost
89.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-24915KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ark City Clinic P a Current Accepting new patients
Kay County Clinic Company LLC Family Medicine Current Accepting new patients

Locations

510 W Radio Ln
Arkansas City, KS 67005
Phone (620) 442-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9667/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1093717381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 COMMERCIAL ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "66801",
            "telephone_number": "620-263-3777",
            "fax_number": "620-263-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 COMMERCIAL ST",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "66801",
            "telephone_number": "620-263-3777",
            "fax_number": "620-263-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "AARON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-24915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155140B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.