Individual provider Active NPI

Joseph B Watson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Shillington, PA
National Provider Identifier
1154623304
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006150 Issued in PA
Practice address
654 Philadelphia Ave
Shillington, PA 19607-2769
Phone
(610) 796-9522
Fax
(610) 796-0105
NPI assigned
Nov 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006150 PA Primary

Addresses

Primary practice location

654 Philadelphia Ave
Shillington, PA 19607-2769

Mailing address

654 Philadelphia Ave
Shillington, PA 19607-2769
Phone (610) 796-9522

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820000276 PA Practitioner - Podiatry 6901052372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berks Foot and Ankle Surgical Associates IncGroup PAC ID 8527030089, 8 clinicians

Practice addresses (Care Compare)

260 State St
Suite 2
Hamburg, PA 19526-1823
Phone (610) 562-4999

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score
80.1 of 100Reported as group
Quality
60.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1862
Removal or shaving of skin growth740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006150PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Foot and Ankle Surgical Associates, Inc Foot & Ankle Surgery CurrentSince Jul 30, 2012 Accepting new patients
Berks Foot and Ankle Surgical Associates, Inc Foot & Ankle Surgery CurrentSince Jul 30, 2012 Accepting new patients

Locations

260 State St
#2
Hamburg, PA 19526
Phone (610) 562-4999

654 Philadelphia Ave
Shillington, PA 19607
Phone (610) 796-9522

Interoperability endpoints

  • Direct secure messaging: josephwatsondpm@bfasa.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1290211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1154623304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072769",
            "telephone_number": "610-796-9522",
            "fax_number": "610-796-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 PHILADELPHIA AVE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072769",
            "telephone_number": "610-796-9522",
            "fax_number": "610-796-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-20",
        "last_updated": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shillington, PA

Sources for this page

Verify at the official NPI Registry.