Deborah Waterman, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000735 Issued in CT

Practice address

210 S Main St
Suite a
Middletown, CT 06457-3764

Phone

(860) 638-4671

Fax

(860) 638-4673

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Family Foot Center LLCGroup PAC ID 3779882352, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Family Foot Center LLC

  • Podiatrist
  • Middletown, CT
  • NPI 1811955057
  Medicare reassignment Care Compare group NPD Authorized official
• Comprehensive Family Foot Care PLLC

  • Podiatrist
  • Bronx, NY
  • NPI 1366473332
  NPD (past)

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

• Middlesex Hospital

  • General Acute Care Hospital
  • Middletown, CT
  • NPI 1760454334
  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1619925211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573764",
            "telephone_number": "860-638-4671",
            "fax_number": "860-638-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN ST",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573764",
            "telephone_number": "860-638-4671",
            "fax_number": "860-638-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "DEBORAH",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000735",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CT",
            "license": "000735",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "C03117",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louis Wang, MD
• Karen V Warner, M.D.
• Mikveh Warshaw, RN, PMHAPRN
• Amy Sarah Wasterlain, MD
• Kathleen Watanabe, LCSW LADC
• John H. Waterman, DDS
• Suzanne Mayo Watson, APRN
• Sheneeta Mechelle Watts, PA-C
• Waxx Logistics and Transportation Inc
• Wayne P. Franco, MD, LLC

• Podiatrist in Middletown, CT
• Providers in Middletown, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.