Individual provider Active NPI

Neil Lawrence Watkins, MD

  • Ophthalmology Physician
  • Gary, IN
National Provider Identifier
1295744993
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01039743A Issued in IN
Practice address
650 Grant St
Suite 7
Gary, IN 46404-1533
Phone
(219) 885-0116
Fax
(219) 881-0522
NPI assigned
Aug 5, 2006
Last updated
Sep 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01039743A IN Primary
Ophthalmology Physician 207W00000X 036086767 IL

Addresses

Primary practice location

650 Grant St
Suite 7
Gary, IN 46404-1533

Mailing address

PO Box 366
Gary, IN 46402-0366
Phone (219) 885-0116

Other identifiers 4

IdentifierTypeStateIssuer
000000219285OtherINANTHEM - BCBS
036086767MedicaidIL
180041574OtherINRAILROAD MEDICARE
100147800AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070823000530 IN Practitioner - OphthalmologyPractitioner - Optometry 2567561673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Optometry
Education
JS Weill Medical College, Cornell University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2318 W 5TH Ave
Gary, IN 46404-1331
Phone (219) 885-0116

8518 Broadway
Merrillville, IN 46410-7032
Phone (219) 769-3555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086767ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
20 20 Eye Specialists PC Ophthalmology CurrentSince May 5, 1993 Accepting new patients
Medical Clinics of America, P.C. Past Accepting new patients

Locations

2318 W 5th Ave
Gary, IN 46404
Phone (219) 883-8394

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JACADA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JACADA/Endpoint/JACADA

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 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1295744993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464020366",
            "telephone_number": "219-885-0116",
            "fax_number": "219-881-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 GRANT ST",
            "address_2": "SUITE 7",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041533",
            "telephone_number": "219-885-0116",
            "fax_number": "219-881-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "NEIL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01039743A",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036086767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - BCBS",
            "identifier": "000000219285",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086767",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180041574",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100147800A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.