Jude T Waterbury, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A90991 Issued in CA

Practice address

2382 Maritime Dr Ste 100
Elk Grove, CA 95758-3659

Phone

(916) 691-6622

Fax

(916) 691-6629

NPI assigned

Feb 2, 2006

Last updated

May 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sockolov and Sockolov a Professional CorporationGroup PAC ID 4284732348, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• American River Home Care Home health agency, Sacramento, CA, CCN 059665
• Sutter Care at Home Home health agency, Sacramento, CA, CCN 557073
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwaterbury13547@hpmg.direct-ci.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sockolov & Sockolov a Professional Corporation

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1205875663
  Medicare reassignment Care Compare group NPD
• Dameron Hospital Association

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1538163886
  NPD (past)
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)
• Oroville Hospital

  • Clinic/Center
  • Oroville, CA
  • NPI 1780788018
  NPD (past)
• Regents of the University of Ca

  • Multi-Specialty Clinic/Center
  • Colusa, CA
  • NPI 1245210889
  NPD (past)
• Kenneth R Lander M.D. P.C.

  • Pulmonary Disease Physician
  • Chester, PA
  • NPI 1144276114

  Internal Medicine

  NPD (past)

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

• American River Home Care

  • Home Health Agency
  • Sacramento, CA
  • NPI 1811317811
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  dba Sutter Care at Home

  • Home Health Agency
  • Sacramento, CA
  • NPI 1649209412
  Care Compare affiliation

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1487626594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 MARITIME DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583659",
            "telephone_number": "916-691-6622",
            "fax_number": "916-691-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2382 MARITIME DR STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583659",
            "telephone_number": "916-691-6622",
            "fax_number": "916-691-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERBURY",
        "first_name": "JUDE",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A90991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayla Washington
• King Washington
• Lauren Washington
• Tiaira Washington
• Wanda Washington
• Krisean Waters
• Jamal Watkins
• Zenja Watkins, MD
• Keisha Rynette Watson
• Lashaun Nikki Watson

• Internal Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.