Individual provider Active NPI

Jonathan Waters, MD

  • Specialist
  • Pittsburgh, PA
National Provider Identifier
1114993284
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD423891 Issued in PA
Practice address
300 Halket St
Pittsburgh, PA 15213-3108
Phone
(412) 641-4260
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD423891 PA Primary

Addresses

Primary practice location

300 Halket St
Pittsburgh, PA 15213-3108

Mailing address

300 Halket St
Pittsburgh, PA 15213-3108

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040616000102 PA Practitioner - AnesthesiologyPractitioner - Pain Management 8224012364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Elk Regional Health Center CurrentSince Jul 18, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Elk Regional Health Center CurrentSince Jul 18, 2024 Accepting new patients
Dubois Regional Medical Center CurrentSince Jan 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 14, 2004 Accepting new patients
University of Pittsburgh Physicians Specialist CurrentSince Jun 14, 2004 Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

763 Johnsonburg Rd
#A
Saint Marys, PA 15857
Phone (800) 446-5090

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1114993284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD423891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.