Individual provider Active NPI

Craig Anthony Watkins, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1740302702
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0063657 Issued in MD
Practice address
200 East 33Rd Street
Suite 136
Baltimore, MD 21218-3322
Phone
(410) 261-8997
NPI assigned
Apr 3, 2007
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0063657 MD Primary

Addresses

Primary practice location

200 East 33Rd Street
Suite 136
Baltimore, MD 21218-3322

Mailing address

200 East 33Rd Street
Suite 136
Baltimore, MD 21218-3322
Phone (410) 261-8997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20051221000641 MD Practitioner - Internal Medicine 5597787358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saluja Medical AssociatesGroup PAC ID 9335227305, 15 clinicians

Practice addresses (Care Compare)

702 W 40TH St
Baltimore, MD 21211-2104
Phone 4102358885709

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063657MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saluja Medical Associates Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Michael a. Randolph, MD PC Internal Medicine PastSince Jul 2, 2002 Accepting new patients
Saluja Medical Associates 2 PastSince Dec 31, 2023 Accepting new patients

Locations

6821 Reisterstown Rd
Ste 106
Baltimore, MD 21215
Phone (410) 358-6450

702 W 40th St
Baltimore, MD 21211
Phone (410) 235-7482

821 N Eutaw St
Ste 300
Baltimore, MD 21201
Phone (410) 225-8615

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 4

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1740302702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST 33RD STREET",
            "address_2": "SUITE 136",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-261-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST 33RD STREET",
            "address_2": "SUITE 136",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183322",
            "telephone_number": "410-261-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.