Active NPI
Heather Holmes Waters, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 62438
- Practice address
- 761 Main Ave Ste 101
Norwalk, CT 06851-1080 - Phone
- (203) 845-2244
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 272636 | NY | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 62438 | CT | Primary |
Addresses
Primary practice location
761 Main Ave Ste 101
Norwalk, CT 06851-1080
Mailing address
5528 Main St
ENT Associates of New York
Flushing, NY 11355-5044
Phone (718) 445-5100
Other practice location 1
1002 Manhattan Ave
ENT Associates of New York
Brooklyn, NY 11222-1314
Phone (718) 349-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190328001252 | CT | Practitioner - Otolaryngology | 2365769288 |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
761 Main Ave
Suite 101
Norwalk, CT 06851-1178
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62438 | CT | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates LLP | Otolaryngology/Facial Plastic Surgery | Past | Accepting new patients |
| Pain Management Physicians PLLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| East River Neurology, PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- heather.waters@1473.chartlogic.direct-ci.com
- hwaters@rweiss.emadirect.md
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Brooklyn, NY
- NPI 1679884902
-
- Otolaryngology Physician
- Tarrytown, NY
- NPI 1376598326
Otolaryngology/Facial Plastic Surgery
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Pain Medicine (Anesthesiology) Physician
- Flushing, NY
- NPI 1417970336
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1326212523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5528 MAIN ST",
"address_2": "ENT ASSOCIATES OF NEW YORK",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555044",
"telephone_number": "718-445-5100",
"fax_number": "718-886-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 MAIN AVE STE 101",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511080",
"telephone_number": "203-845-2244"
}
],
"practiceLocations": [
{
"address_1": "1002 Manhattan Ave",
"address_2": "ENT Associates of New York",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112221314",
"country_code": "US",
"telephone_number": "718-349-3033",
"fax_number": "718-349-3035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATERS",
"first_name": "HEATHER",
"middle_name": "HOLMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NY",
"license": "272636",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CT",
"license": "62438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.