Active NPI
Joanna Hwang Watkins, MD
- Otolaryngology Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01071343A
- Practice address
- 2920 S McIntire Dr
Suite 350
Bloomington, IN 47403-4221 - Phone
- (812) 332-7337
- Fax
- (812) 339-2934
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 47798 | WI | |
| Otolaryngology Physician | 207Y00000X | 01071343A | IN | Primary |
| Otolaryngology Physician | 207Y00000X | A105519 | CA |
Addresses
Primary practice location
2920 S McIntire Dr
Suite 350
Bloomington, IN 47403-4221
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
1115 Ronald Reagan Pkwy
Avon, IN 46123-6910
Phone (317) 217-2300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201074450 | Medicaid | IN | |
| 1124079496 | Other | IN | ANTHEM PTAN |
| 000000775353 | Other | IN | ANTHEM PTAN |
Other names 1
- Joanna Hwang
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JWATKINS1@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Vanderbilt University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 N Ronald Reagan Pkwy
Avon, IN 46123-6910
Phone (317) 944-6467
Hospital & facility affiliations
- Indiana University Health
- Iu Health West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47798 | WI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University Otolaryngology Associates, Inc. | Otolaryngology | Current | Accepting new patients |
Locations
7631 Solutions Ctr
Chicago, IL 60677
1115 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-2500
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
2920 S McIntire Dr
Ste 350
Bloomington, IN 47403
Phone (812) 332-2226
2920 S McIntire Dr
Ste 250
Bloomington, IN 47403
Phone (812) 332-9217
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- jwatkins1@direct.iuhealth.org
Organizations & group practices 3
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Otolaryngology Physician
- Indianapolis, IN
- NPI 1275563447
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1124079496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 S MCINTIRE DR",
"address_2": "SUITE 350",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474034221",
"telephone_number": "812-332-7337",
"fax_number": "812-339-2934"
}
],
"practiceLocations": [
{
"address_1": "1115 Ronald Reagan Pkwy",
"address_purpose": "LOCATION",
"city": "Avon",
"state": "IN",
"postal_code": "461236910",
"country_code": "US",
"telephone_number": "317-217-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATKINS",
"first_name": "JOANNA",
"middle_name": "HWANG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "47798",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01071343A",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A105519",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201074450",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1124079496",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "000000775353",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JWATKINS1@direct.iuhealth.org",
"affiliation": "N",
"address_1": "2920 S McIntire Dr",
"address_2": "Suite 350",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474034221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOANNA",
"last_name": "HWANG",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.