Active NPI
Steve Alan Watts, M.D.
- Sports Medicine (Family Medicine) Physician
- Houston, TX
National Provider Identifier
1578560769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- G5751
- Practice address
- 4500 Washington Ave
Suite 300
Houston, TX 77007-5476 - Phone
- (713) 861-6490
- NPI assigned
- Jul 1, 2005
- Last updated
- Mar 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 16858 | MS | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | G5751 | TX | Primary |
Addresses
Primary practice location
4500 Washington Ave
Suite 300
Houston, TX 77007-5476
Mailing address
909 Frostwood Dr
Suite 1.100
Houston, TX 77024-2301
Phone (713) 338-4523
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200040391 | Other | MS | RRMCARE |
| 00122522 | Medicaid | MS | |
| P00651236 | Other | MS | R. R. MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16858 | MS | MD | Family Medicine Physician |
| G5751 | TX | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Medicine Associates, PLLC | Past | Accepting new patients | |
| University Orthopedic Associates, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Jackson, MS
- NPI 1396846648
-
- Orthopaedic Surgery Physician
- Jackson, MS
- NPI 1477662211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1578560769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR",
"address_2": "SUITE 1.100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301",
"telephone_number": "713-338-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 WASHINGTON AVE",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770075476",
"telephone_number": "713-861-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "STEVE",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MS",
"license": "16858",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "G5751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE",
"identifier": "200040391",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00122522",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R. R. MEDICARE",
"identifier": "P00651236",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.