Carla Patrice Watson, M.D.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

036106614 Issued in IL

Practice address

730 45TH Ave
Munster, IN 46321-2818

Phone

(219) 934-2652

Fax

(219) 934-2658

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwatson169640@uchospital.direct-ci.com

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.

• Little Company of Mary Affiliated Services Inc

  • Urgent Care Clinic/Center
  • Oak Lawn, IL
  • NPI 1033162086
  NPD
• Orthopedic Specialists of Northwest Indiana LLC

  • Orthopaedic Surgery Physician
  • Munster, IN
  • NPI 1417475658
  NPD (past)
• Rehabilitation Medicine Clinic, Inc.

  • Rehabilitation Practitioner
  • Wheaton, IL
  • NPI 1093818494
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1356418446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18660 GRAPHIC DR",
            "address_2": "STE 100",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604776263",
            "telephone_number": "708-263-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 45TH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212818",
            "telephone_number": "219-934-2652",
            "fax_number": "219-934-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CARLA",
        "middle_name": "PATRICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "IL",
            "license": "036106614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "363236791",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106614",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James B Walsh, MD
• Irena M Walters, PSYD
• Patricia A Wangerin, NP
• Ti-Yon Ward, NP
• Kylie Washel, PA-C
• We Care Pharmacy LLC
• Adriane Weaver, APRN
• Weinberg & Frank Plastic Surgery and Aesthetic Center Inc
• Ashley Anne Weiner
• Jarod Weis, DDS

• Rehabilitation Practitioner in Munster, IN
• Providers in Munster, IN by specialty
• Rehabilitation Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.