Active NPI
Christopher Roy Watters, MD
- Surgery Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 34194
- Practice address
- 1212 Cedarhurst Drive
Suite 102
Raleigh, NC 27609 - Phone
- (919) 431-9911
- Fax
- (919) 850-1397
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34194 | NC | Primary |
Addresses
Primary practice location
1212 Cedarhurst Drive
Suite 102
Raleigh, NC 27609
Mailing address
5213 S Alston Ave
Durham, NC 27713-4430
Phone (919) 620-5041
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8986021 | Medicaid | NC | |
| 2337261 | Other | NC | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Michigan Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Wake Forest Rd
Suite 310
Raleigh, NC 27609-7317
Phone (919) 620-4855
3404 Wake Forest Rd
Suite 200
Raleigh, NC 27609-7341
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 43 |
| Hernia repair - groin (open) | 13 |
| Hernia repair (minimally invasive) | 22 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
3404 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 862-5400
Organizations & group practices 3
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Surgery Physician
- Raleigh, NC
- NPI 1285678631
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Duke Raleigh Hospital, a campus of Duke University Hospital
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
dba Duke Raleigh Hospital, a campus of Duke University Hospital
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1306828108
Hospital
-
dba Duke University Hospital
- Clinical Medical Laboratory
- Durham, NC
- NPI 1508847047
Hospital
-
dba Duke University Hospital
- Land Ambulance
- Durham, NC
- NPI 1417954942
Hospital
-
dba Duke University Hospital
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
dba Duke University Hospital
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370563200000",
"number": "1518945583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 S ALSTON AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134430",
"telephone_number": "919-620-5041",
"fax_number": "919-620-4921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 CEDARHURST DRIVE",
"address_2": "SUITE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27609",
"telephone_number": "919-431-9911",
"fax_number": "919-850-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERS",
"first_name": "CHRISTOPHER",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2013-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "34194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8986021",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2337261",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.