Individual provider Active NPI

Luisa Y A Watts, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
National Provider Identifier
1275761876
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01069794A Issued in IN
Practice address
Raf Lakenheath 48 MDG/SGHC
Unit 5115
Apo, AE 09461-5115
Phone
(004) 416-3852
NPI assigned
Jun 23, 2009
Last updated
Jul 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 241734 MA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01069794A IN Primary

Addresses

Primary practice location

Raf Lakenheath 48 MDG/SGHC
Unit 5115
Apo, AE 09461-5115

Mailing address

Raf Lakenheath 48 MDG/SGHC
Unit 5115
Apo, AE 09461
Phone (004) 441-6385

Other names 1

  • Luisa Y Abukarma Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230926002471 DC Practitioner - Pathology 3274987144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliott and Wargotz Pathologists, LLCGroup PAC ID 7012057128, 3 clinicians

Practice addresses (Care Compare)

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01069794AINMDAnatomic Pathology & Clinical Pathology Physician
241734MAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott and Wargotz Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2023 Accepting new patients

Locations

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

Organizations & group practices 1

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 1

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1275761876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "RAF LAKENHEATH 48 MDG/SGHC",
            "address_2": "UNIT 5115",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461",
            "telephone_number": "004-441-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "RAF LAKENHEATH 48 MDG/SGHC",
            "address_2": "UNIT 5115",
            "city": "APO",
            "state": "AE",
            "postal_code": "094615115",
            "telephone_number": "004-416-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "LUISA Y",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "241734",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01069794A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUISA",
            "last_name": "ABUKARMA",
            "middle_name": "Y",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.