Individual provider Active NPI

Blake A Watson, MD

  • Diagnostic Radiology Physician
  • Tyler, TX
National Provider Identifier
1578879151
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P7226 Issued in TX
Practice address
627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone
(903) 593-2539
Fax
(903) 593-0559
NPI assigned
Aug 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P7226 TX Primary

Addresses

Primary practice location

627 Turtle Creek Dr
Tyler, TX 75701-1832

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140911000758 TX Practitioner - Diagnostic Radiology 0941440275 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Btdi JV, LLP CurrentSince Oct 29, 2020 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Jun 15, 2014 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Tyler Radiology Associates PA Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Radiology Associates of North Texas CurrentSince Oct 1, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 16, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 18, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 15, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 3, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Clinical Care in Radiology Past Accepting new patients
Radiology Associates of Birmingham PC Diagnostic Radiology Past Accepting new patients

Locations

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

2019 Old Troup Hwy
Tyler, TX 75701
Phone (903) 526-6736

627 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 597-6372

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Interoperability endpoints

  • Direct secure messaging: bwatson355848@ahs.direct-ci.com

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 6

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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1578879151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011832",
            "telephone_number": "903-593-2539",
            "fax_number": "903-593-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BLAKE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-20",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P7226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.