NPIMap

Individual provider Active NPI

Robert Edward Watts, MD

  • Diagnostic Radiology Physician
  • Honolulu, HI
National Provider Identifier
1295969855
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C171646 Issued in CA
Practice address
1 Jarrett White Rd
Honolulu, HI 96859-5001
Phone
(888) 683-2778
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD39538 SC
Diagnostic Radiology Physician 2085R0202X C171646 CA Primary

Addresses

Primary practice location

1 Jarrett White Rd
Honolulu, HI 96859-5001

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA, AK, HI4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170123001100 SC Practitioner - Diagnostic Radiology 6305128638 Reassigns benefits to 2 organizations
I20220919001834 CA Practitioner - Diagnostic Radiology 6305128638 Reassigns benefits to 2 organizations
I20231220003537 AK Practitioner - Diagnostic Radiology 6305128638 Reassigns benefits to 2 organizations
I20260413001108 HI Practitioner - Diagnostic Radiology 6305128638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Stanford University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians
Alaska Radiology Associates IncGroup PAC ID 0648182725, 37 clinicians
Imaging Associates LLCGroup PAC ID 4284641986, 23 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

3650 Piper St
Suite a
Anchorage, AK 99508-4651
Phone (907) 339-9455

3650 Piper St
Suite a
Anchorage, AK 99508-4692
Phone (901) 222-4624

91 -1066 Kai Oio St
Ewa Beach, HI 96706-6272
Phone (907) 222-4624

Hospital & facility affiliations

  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
  • Providence Kodiak Island Medical Ctr Hospital, Kodiak, AK, CCN 021306
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Providence Seward Hospital Hospital, Seward, AK, CCN 021302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C171646CAMDDiagnostic Radiology Physician
MD39538SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Radiology Associates Inc CurrentSince Nov 12, 2023 Accepting new patients
Providence Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Sep 1, 2022 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jul 15, 2018 Accepting new patients
Stanford Health Care Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Charleston Radiologists PA Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Imaging Associates, LLC Diagnostic Radiology CurrentSince Nov 7, 2023 Accepting new patients
Stanford Health Care CurrentSince Sep 1, 2022 Accepting new patients

Locations

3650 Piper St
Anchorage, AK 99508
Phone (907) 339-9455

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3650 Piper St
Ste A
Anchorage, AK 99508
Phone (907) 339-9455

2280 S Woodworth Loop
Palmer, AK 99645
Phone (907) 565-8010

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

1241 Woodland Ave
Mt Pleasant, SC 29464
Phone (843) 881-4020

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1295969855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "888-683-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MD39538",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C171646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.