NPIMap

Individual provider Active NPI

Judith Kuczek Waters, MD

  • Family Medicine Physician
  • Strongsville, OH
National Provider Identifier
1134106974
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-06-7582-W Issued in OH
Practice address
18181 Pearl Rd
B202
Strongsville, OH 44136-6949
Phone
(440) 816-4960
NPI assigned
Dec 22, 2005
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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 35-06-7582-W OH Primary

Addresses

Primary practice location

18181 Pearl Rd
B202
Strongsville, OH 44136-6949

Mailing address

PO Box 30610
Cleveland, OH 44130-0610
Phone (440) 816-6429

Other identifiers 9

IdentifierTypeStateIssuer
3416527556P00OtherOHANTHEM GROUP
2238199MedicaidOH
000000077081OtherOHANTHEM PIN
86542OtherOHQUAL CHOICE
0007634033OtherOHAETNA
341652755011OtherOHTRICARE
080163899OtherOHRAILROAD MEDICARE
0843940002OtherOHDMERC
2123544MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address judithwaters@uhps.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000095 OH Practitioner - Family Practice 9335220748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18181 Pearl Rd
Suite A104
Strongsville, OH 44136-6965
Phone (440) 238-7676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Nov 1, 2007 Accepting new patients
Southwest General Medical Group, Inc. Family Medicine Past Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Childrens Research Foundation of Cleveland Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

18181 Pearl Rd
Ste A104
Strongsville, OH 44136
Phone (440) 238-7676

Interoperability endpoints

  • Direct secure messaging: judithwaters@uhps.allscriptsdirect.net
  • Direct secure messaging: jwaters@direct.swgeneral.com
  • Direct secure messaging: jwaters21082@ehrdirect.uhhospitals.org

Organizations & group practices 6

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1134106974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30610",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441300610",
            "telephone_number": "440-816-6429",
            "fax_number": "440-816-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 PEARL RD",
            "address_2": "B202",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366949",
            "telephone_number": "440-816-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JUDITH",
        "middle_name": "KUCZEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-06-7582-W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP",
            "identifier": "3416527556P00",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2238199",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000077081",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "86542",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007634033",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "341652755011",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080163899",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0843940002",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123544",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "judithwaters@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "18181 Pearl Rd",
            "address_2": "B202",
            "city": "Strongsville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441366949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.