Individual provider Active NPI

Joseph Hugh Waters, M.D.

  • Pediatric Adolescent Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1306208699
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD486414 Issued in PA
Practice address
120 Lytton Ave # M060
Pittsburgh, PA 15213-1481
Phone
(202) 629-6356
Fax
(412) 692-7532
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X D0100047 MD
Pediatric Adolescent Medicine Physician 2080A0000X 0101269974 VA
Pediatric Adolescent Medicine Physician 2080A0000X MD047067 DC
Pediatric Adolescent Medicine Physician 2080A0000X MD486414 PA Primary

Addresses

Primary practice location

120 Lytton Ave # M060
Pittsburgh, PA 15213-1481

Mailing address

120 Lytton Ave Ste 225
Pittsburgh, PA 15213-1481

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.h.waters@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 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
I20230110000643 DC Practitioner - Pediatric Medicine 9638413313 Reassigns benefits to 1 organization
I20241119003664 PA Practitioner - Pediatric Medicine 9638413313 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0100047MDMDPediatric Adolescent Medicine Physician
0101269974VAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Nov 1, 2024 Accepting new patients
Children'S Hospital Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Children'S Hospital CurrentSince Sep 2, 2022 Accepting new patients
University of Pittsburgh Physicians Pediatrics CurrentSince Nov 1, 2024 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Sep 2, 2022 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

111 Michigan Ave NW
#400
Washington, DC 20010
Phone (202) 476-2120

120 Lytton Ave
#M60
Pittsburgh, PA 15213
Phone (202) 629-6356

120 Lytton Ave
Ste 225
Pittsburgh, PA 15213

120 Lytton Ave
Ste M60
Pittsburgh, PA 15213
Phone (412) 621-6540

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1306208699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LYTTON AVE STE 225",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LYTTON AVE # M060",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131481",
            "telephone_number": "202-629-6356",
            "fax_number": "412-692-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JOSEPH",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "D0100047",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101269974",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "DC",
            "license": "MD047067",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD486414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.h.waters@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.