Active NPI
Michael A Watts, MD
- Emergency Medicine Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- M-11231
- Practice address
- 2963 E Copper Point Dr
Meridian, ID 83642-9055 - Phone
- (208) 322-1730
- Fax
- (208) 322-1731
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | EC-06-1097 | ME | |
| Emergency Medicine Physician | 207P00000X | M-11231 | ID | Primary |
Addresses
Primary practice location
2963 E Copper Point Dr
Meridian, ID 83642-9055
Mailing address
2963 E Copper Point Dr
Meridian, ID 83642-9055
Phone (208) 322-1730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M-11231 | Other | ID | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Missouri, Kansas City, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Medical Ctr Dr
Brunswick, ME 04011-2652
Phone (207) 373-6000
Hospital & facility affiliations
- Central Maine Medical Center
- Bridgton Hospital
- Rumford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- Quality
- 83.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EC-06-1097 | ME | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Bluewater Emergency Partners of Brunswick, LLC | Emergency Medicine | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Seacoast Pathology Inc | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Idaho Emergency Physicians, P.a. | Emergency Medicine | Past | Accepting new patients |
| Mainehealth | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients | |
| Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care | Emergency Medicine | Past | Accepting new patients |
Locations
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
300 Main St
Lewiston, ME 04240
Phone (207) 795-2400
181 Main St
Norway, ME 04268
Phone (207) 743-5933
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
149 North St
Waterville, ME 04901
Phone (207) 622-1959
15 Hospital Dr
York, ME 03909
Phone (207) 351-2478
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
Interoperability endpoints
- mwatts2324@direct.mmc.mainehealth.org
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1043640204
VT
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
- General Acute Care Hospital
- York, ME
- NPI 1376528398
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- General Acute Care Hospital
- Portland, ME
- NPI 1508897059
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Clinical Medical Laboratory
- Exeter, NH
- NPI 1154651230
-
- Emergency Medicine Physician
- Meridian, ID
- NPI 1730133208
-
- Emergency Medicine Physician
- Brunswick, ME
- NPI 1881974665
-
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
-
- General Acute Care Hospital
- Biddeford, ME
- NPI 1659392819
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
- Critical Access Hospital
- Rumford, ME
- NPI 1205991122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1265500938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2963 E COPPER POINT DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429055",
"telephone_number": "208-322-1730",
"fax_number": "208-322-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2963 E COPPER POINT DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429055",
"telephone_number": "208-322-1730",
"fax_number": "208-322-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "EC-06-1097",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-11231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "M-11231",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.