Individual provider Active NPI

Christian F. Wathen, M.D.

  • Internal Medicine Physician
  • Mathews, VA
National Provider Identifier
1457384232
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101241174 Issued in VA
Practice address
9184 Buckley Hall Rd
Mathews, VA 23109-2309
Phone
(804) 725-0100
Fax
(804) 725-3158
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101241174 VA Primary

Addresses

Primary practice location

9184 Buckley Hall Rd
Mathews, VA 23109-2309

Mailing address

PO Box 1498
Mathews, VA 23109-1498
Phone (804) 725-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070511000082 VA Practitioner - Internal Medicine 9830179308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLC 1,935 clinicians
Middle Peninsula Medical Center Inc 2 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

9184 Buckley Hall Rd
Mathews, VA 23109-2309
Phone (804) 725-0100

Hospital & facility affiliations

  • Brookside Home Health, an Amedisys Company Home health agency, Williamsburg, VA, CCN 497415
  • Riverside Home Health Home health agency, Newport News, VA, CCN 497467
  • Riverside Walter Reed Hospice Hospice, Gloucester, VA, CCN 491530
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Rappahannock General Hospital Hospital, Kilmarnock, VA, CCN 491308
  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

Merit-based Incentive Payment System (MIPS)

Final score
22.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions31
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101241174VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Peninsula Medical Center Inc Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Home Physician Network Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hospitalists of Delaware Internal Medicine Past Accepting new patients

Organizations & group practices 5

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1457384232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "231091498",
            "telephone_number": "804-725-0100",
            "fax_number": "804-725-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9184 BUCKLEY HALL RD",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "231092309",
            "telephone_number": "804-725-0100",
            "fax_number": "804-725-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATHEN",
        "first_name": "CHRISTIAN",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101241174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mathews, VA

Sources for this page

Verify at the official NPI Registry.