NPIMap

Individual provider Active NPI

Gaurav Vishwasrao Watane, M.D.

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
National Provider Identifier
1184170813
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD472682 Issued in PA
Practice address
320 E North Ave
Pittsburgh, PA 15212-4756
Phone
(412) 359-2459
Fax
(412) 359-8188
NPI assigned
Sep 1, 2016
Last updated
Feb 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MTL003891 DC
Diagnostic Radiology Physician 2085R0202X MD472682 PA Primary

Addresses

Primary practice location

320 E North Ave
Pittsburgh, PA 15212-4756

Mailing address

600 Aberdeen Dr Ste B
Somerset, PA 15501-1737
Phone (814) 444-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210831000079 PA Practitioner - Nuclear Medicine 7214208230 Reassigns benefits to 1 organization
I20211013000214 NY Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 7214208230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chautauqua Medical Practice PCGroup PAC ID 5294920203, 103 clinicians
Allegheny Clinic RadiologyGroup PAC ID 8426364738, 153 clinicians

Practice addresses (Care Compare)

189 E Main St
Westfield, NY 14787-1104
Phone (716) 793-2221

320 E N Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-2459

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD472682PAMDDiagnostic Radiology Physician
MTL003891DCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua Medical Practice, P.C. CurrentSince Jul 8, 2021 Accepting new patients
Allegheny Clinic Radiology Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Ste G70
Pittsburgh, PA 15212

600 Aberdeen Dr
#B
Somerset, PA 15501

Interoperability endpoints

  • Direct secure messaging: gwatane401400@direct.ahn.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1184170813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ABERDEEN DR STE B",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011737",
            "telephone_number": "814-444-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-2459",
            "fax_number": "412-359-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATANE",
        "first_name": "GAURAV",
        "middle_name": "VISHWASRAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": "MTL003891",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD472682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.