Active NPI
Jonathan Watson, M.D.
- Orthopaedic Surgery Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036141376
- Practice address
- 10811 W 143Rd St Ste 150
Orland Park, IL 60467-1945 - Phone
- (708) 405-8600
- NPI assigned
- Jun 15, 2009
- Last updated
- Dec 22, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 036141376 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | 036141376 | IL | Primary |
Addresses
Primary practice location
10811 W 143Rd St Ste 150
Orland Park, IL 60467-1945
Mailing address
10811 W 143Rd St Ste 150
Orland Park, IL 60467-1945
Phone (708) 405-8600
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 355-4000
Other practice location 2
747 E Boughton Rd # 246
Bolingbrook, IL 60440-2281
Phone (773) 203-3894
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwatson276075@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- 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
- Orthopedic Surgery
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10811 W 143Rd St
Suite 150
Orland Park, IL 60467-1945
Phone (773) 203-3894
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Palos Community Hospital
- Advocate Christ Hospital & Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036141376 | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skyline Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
747 E Boughton Rd
Bolingbrook, IL 60440
Phone (630) 343-0559
10811 W 143rd St
Ste 150
Orland Park, IL 60467
Phone (708) 405-8600
9200 Calumet Ave
Ste N300
Munster, IN 46321
Phone (219) 273-2570
Interoperability endpoints
- j.watson@direct.advancedorthospine.com
- jwatson@skylineorthopedics.emadirect.md
- jwatson276075@direct.myadvocateaurora.org
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 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1285861435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10811 W 143RD ST STE 150",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604671945",
"telephone_number": "708-405-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10811 W 143RD ST STE 150",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604671945",
"telephone_number": "708-405-8600"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-355-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "747 E Boughton Rd # 246",
"address_purpose": "LOCATION",
"city": "Bolingbrook",
"state": "IL",
"postal_code": "604402281",
"country_code": "US",
"telephone_number": "773-203-3894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-15",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "036141376",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036141376",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwatson276075@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "10811 W 143rd St Ste 150",
"city": "Orland Park",
"state": "IL",
"country_code": "US",
"postal_code": "604671945",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "10811 W 143rd St Ste 150",
"city": "Orland Park",
"state": "IL",
"country_code": "US",
"postal_code": "604671945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orland Park, IL
- Rebecca Ward
- Anna Waring, DPT
- Washington & Jane Smith Community - Orland Park (Smith Crossing)
- Washington and Jane Smith Community- Orland Park (Smith Crossing)
- John A Wator, ATC
- Kevin Curtis Watson, LPC
- Janine Watters, MSN, APRN, PMHNP-BC
- Candice Watts, LPC NCC
- WCS Occupational Rehabilitation and Sports Medicine, Inc.
- Jarrod Wedge
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.