Individual provider Active NPI

Stephen John Watts, MD

  • Clinical Cardiac Electrophysiology Physician
  • Rockledge, FL
National Provider Identifier
1417050642
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME70932 Issued in FL
Practice address
119 Longwood Ave
Rockledge, FL 32955-2827
Phone
(321) 632-6963
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME70932 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME70932 FL Primary

Addresses

Primary practice location

119 Longwood Ave
Rockledge, FL 32955-2827

Mailing address

119 Longwood Ave
Rockledge, FL 32955-2827
Phone (321) 632-6963

Other identifiers 1

IdentifierTypeStateIssuer
251179700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060222000544 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7911913330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of Massachusetts Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

150 N Sykes Creek Pkwy
Suite 300
Merritt Island, FL 32953-3488
Phone (772) 589-6400

Hospital & facility affiliations

  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medicomp Inc CurrentSince Dec 1, 2005 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Mar 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Steward Medical Group, Inc. Cardiovascular Disease CurrentSince May 1, 2017 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Brevard Cardiology Physicians PA Cardiovascular Disease Past Accepting new patients
Wuesthoff Brevard Cardiology Group Cardiovascular Disease Past Accepting new patients

Locations

150 N Sykes Creek Pkwy
Ste 300
Merritt Island, FL 32953
Phone (321) 449-4168

255 N Sykes Creek Pkwy
Ste 101
Merritt Island, FL 32953
Phone (321) 338-7885

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

119 Longwood Ave
Rockledge, FL 32955
Phone (321) 632-6963

111 Longwood Ave
Rockledge, FL 32955
Phone (321) 208-8726

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: swatts22977@epicdirect.hf.org
  • Direct secure messaging: stephen.watts.1@15594.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1417050642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552827",
            "telephone_number": "321-632-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552827",
            "telephone_number": "321-632-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME70932",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME70932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251179700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.