Individual provider Active NPI

Abhishek Watts, M.D.

  • Pediatric Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1356652606
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
41675 Issued in OK
Practice address
3330 NW 56TH St Ste 500
Oklahoma City, OK 73112-4470
Phone
(405) 713-7060
Fax
(405) 713-7064
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 41675 OK Primary

Addresses

Primary practice location

3330 NW 56TH St Ste 500
Oklahoma City, OK 73112-4470

Mailing address

3001 Quail Springs Pkwy FL 5
Oklahoma City, OK 73134-2640
Phone (405) 713-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK2 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
I20160726002847 MO Practitioner - Pediatric Medicine 0840431011 Reassigns benefits to 1 organization
I20230821003875 OK Practitioner - Pediatric Medicine 0840431011 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation CurrentSince Jul 31, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 1, 2016 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 1, 2016 Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1965 S Fremont Ave
Ste 220
Springfield, MO 65804
Phone (417) 820-0280

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3330 NW 56th St
Ste 500
Oklahoma City, OK 73112
Phone (405) 713-7060

3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134

Interoperability endpoints

  • Direct secure messaging: awatts3413538@wm.providencedirect.org
  • Direct secure messaging: awatts441681@direct.integrisok.com

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1356652606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 QUAIL SPRINGS PKWY FL 5",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342640",
            "telephone_number": "405-713-7060",
            "fax_number": "405-713-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST STE 500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124470",
            "telephone_number": "405-713-7060",
            "fax_number": "405-713-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "ABHISHEK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OK",
            "license": "41675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.