Judith Kuczek Waters, MD
Individual provider Active NPI Family Medicine Physician · Strongsville, OH
NPI 1134106974 · NPPES record last updated Dec 28, 2020
Key facts
- NPI
- 1134106974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35-06-7582-W (OH)
- Practice address
- 18181 Pearl Rd
B202
Strongsville, OH 44136-6949 - Phone
- (440) 816-4960
- NPI assigned
- Dec 22, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 13
Medicare Care Compare profile
- 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
- University Primary Care Practices Inc
Practice addresses (Care Compare)
18181 Pearl Rd
Suite A104
Strongsville, OH 44136-6965
Phone (440) 238-7676
Hospital & facility affiliations
- Southwest General Home Health
- University Hospital Home Care Services, Inc
- Accessible Home Health Care of Akron
- Elara Caring
- Residence Home Care LLC
- Southwest General Health Center
- Uh Cleveland Medical Center
- Parma Community General Hospital
- Uh St John Medical Center
- University Hospitals - Elyria Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 82.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080111000095 | OH | Practitioner - Family Practice | 9335220748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Family Medicine | Current |
Accepting new patients |
| University Primary Care Practices Inc | Current | 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
- jwaters21082@ehrdirect.uhhospitals.org
- jwaters@direct.swgeneral.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35-06-7582-W | OH | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080163899 | Other | OH | RAILROAD MEDICARE |
| 2238199 | Medicaid | OH | |
| 86542 | Other | OH | QUAL CHOICE |
| 0007634033 | Other | OH | AETNA |
| 341652755011 | Other | OH | TRICARE |
| 000000077081 | Other | OH | ANTHEM PIN |
| 2123544 | Medicaid | OH | |
| 0843940002 | Other | OH | DMERC |
| 3416527556P00 | Other | OH | ANTHEM GROUP |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | judithwaters@uhps.allscriptsdirect.net |
Other providers in Strongsville, OH
- Kristen Leigh Ward
- Aaliyah Ware
- Brian Warner
- Mallory Washburn
- Sara L Wasserman
- Deanna A Watts
- Melissia Waywell
- Kayley Webb
- Kristin Elizabeth Webb
- Richard S. Weiser Jr.
All providers in Strongsville, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.