Individual provider Active NPI

Jonathan Watson, M.D.

  • Orthopaedic Surgery Physician
  • Orland Park, IL
National Provider Identifier
1285861435
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036141376 Issued in IL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160810001112 IL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5597059725 Reassigns benefits to 1 organization
I20250327001770 IN Practitioner - Orthopedic Surgery 5597059725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
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
Skyline Orthopedics LLCGroup PAC ID 5597183269, 6 clinicians

Practice addresses (Care Compare)

10811 W 143Rd St
Suite 150
Orland Park, IL 60467-1945
Phone (773) 203-3894

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
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

LicenseStateTypeSpecialty
036141376ILMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Orthopedics, LLC Orthopaedic Surgery CurrentSince Jul 27, 2020 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

  • Direct secure messaging: j.watson@direct.advancedorthospine.com
  • Direct secure messaging: jwatson@skylineorthopedics.emadirect.md
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.