NPIMap

Individual provider Active NPI

Katherine Marie Watson, MD

  • Colon & Rectal Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1356703276
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
71345 Issued in MN
Practice address
3433 Broadway St NE Ste 115
Minneapolis, MN 55413-1759
Phone
(612) 624-1722
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 71345 MN
Colon & Rectal Surgery Physician 208C00000X 71345 MN Primary

Addresses

Primary practice location

3433 Broadway St NE Ste 115
Minneapolis, MN 55413-1759

Mailing address

3433 Broadway St NE Ste 115
Minneapolis, MN 55413-1759
Phone (612) 624-1722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724000632 MN Practitioner - Colorectal Surgery (Proctology) 8325334485 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Oregon Health Sciences University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Minnesota Oncology Hematology PAGroup PAC ID 6709799752, 131 clinicians
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians

Practice addresses (Care Compare)

201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000

310 N Smith Ave
Suite 100
Saint Paul, MN 55102-2379
Phone (651) 251-5500

6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000

6545 France Ave S
Suite 210
Edina, MN 55435-2281
Phone (952) 928-2900

675 E Nicollet Blvd
Suite 100
Burnsville, MN 55337-6749
Phone (952) 892-7190

7760 France Ave S
Suite 1000
Bloomington, MN 55435-5870
Phone (952) 749-6767

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Melanoma (skin cancer) excision1-10
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oncology Hematology, PA CurrentSince Oct 1, 2025 Accepting new patients
Minnesota Oncology Hematology PA CurrentSince Oct 1, 2025 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Sep 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Aug 1, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Minnesota Oncology Hematology, PA Current Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2025 Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Fairview Health Services CurrentSince Jul 1, 2025 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Sep 1, 2024 Accepting new patients
Minnesota Oncology Hematology, PA Past Accepting new patients
Colon & Rectal Surgery Associates LTD Colon & Rectal Surgery PastSince Jul 16, 2023 Accepting new patients
Minnesota Oncology Hematology, PA PastSince Jan 12, 2020 Accepting new patients
Allina Health System Past Accepting new patients
Pelvic Floor Center, LLC Colon & Rectal Surgery PastSince Jul 16, 2023 Accepting new patients

Locations

1175 Paysphere Cir
Chicago, IL 60674

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

6363 France Ave S
Ste 400
Minneapolis, MN 55435
Phone (651) 312-1700

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

310 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 251-5500

Interoperability endpoints

  • Direct secure messaging: kwatson587426@excellian.direct.allina.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1356703276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE STE 115",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131759",
            "telephone_number": "612-624-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 BROADWAY ST NE STE 115",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131759",
            "telephone_number": "612-624-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "71345",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MN",
            "license": "71345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.