Active NPI
Maureen L Watson, MD
- Diagnostic Radiology Physician
- Indianapolis, IN
National Provider Identifier
1164401014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01039468A
- Practice address
- 8111 S Emerson Ave
Indianapolis, IN 46237-8601 - Phone
- (317) 528-2961
- Fax
- (317) 528-3789
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01039468A | IN | Primary |
Addresses
Primary practice location
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Mailing address
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-2961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200002050 | Medicaid | IN |
Other names 1
- Maureen L Hill
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwatson520920@Direct.FranciscanAlliance.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
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5362
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Radiology Physicians LLC | Diagnostic Radiology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
2400 17th St
Columbus, IN 47201
Phone (812) 373-3025
Interoperability endpoints
- mwatson520920@direct.franciscanalliance.org
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.
-
- Diagnostic Radiology Physician
- Columbus, IN
- NPI 1467964718
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
- Special Hospital
- Indianapolis, IN
- NPI 1508979683
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
-
- Critical Access Hospital
- North Vernon, IN
- NPI 1285684829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1164401014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8111 S EMERSON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378601",
"telephone_number": "317-528-2961",
"fax_number": "317-528-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8111 S EMERSON AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462378601",
"telephone_number": "317-528-2961",
"fax_number": "317-528-3789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MAUREEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01039468A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200002050",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwatson520920@Direct.FranciscanAlliance.org",
"affiliation": "N",
"address_1": "8111 S Emerson Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462378601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "HILL",
"middle_name": "L",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.