Individual provider Active NPI

Tabitha A Watts, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1750469987
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-108494 Issued in IL
Practice address
1449 S Michigan Ave # 1307
Chicago, IL 60605-2810
Phone
(888) 437-2682
Fax
(312) 264-0662
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 137-320 WI
Pediatrics Physician 208000000X 036-108494 IL Primary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 036-108494 IL
Hospitalist Physician 208M00000X 01092245A IN
Pediatrics Physician 208000000X 83519 MN
Pediatrics Physician 208000000X 01092245A IN

Addresses

Primary practice location

1449 S Michigan Ave # 1307
Chicago, IL 60605-2810

Mailing address

PO Box 4645
Chicago, IL 60680-4645
Phone (312) 451-5695

Other practice location 1

2250 NW 26th St
Owatonna, MN 55060-5503
Phone (507) 451-3850

Other practice location 2

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200

Other practice location 3

12750 Saint Francis Dr
Crown Point, IN 46307-0264
Phone (219) 757-6005

Other practice location 4

4855 S Moorland Rd Fl 3
New Berlin, WI 53151-7494
Phone (262) 432-7599

Other practice location 5

4177 S Archer Ave
Chicago, IL 60632-1849
Phone (773) 932-1142

Other practice location 6

35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 626-1000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address twatts@direct.ccprovider.org Direct Cook County
Direct Messaging Address twatts@direct.ccprovider.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, IN, ME4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070330000432 IL Practitioner - Pediatric MedicinePractitioner - Family PracticePractitioner - Internal Medicine 9436253408 Reassigns benefits to 5 organizations
I20210513002624 WI Practitioner - Pediatric Medicine 9436253408 Reassigns benefits to 1 organization
I20240719003059 IN Practitioner - HospitalistPractitioner - Pediatric Medicine 9436253408 Reassigns benefits to 1 organization
I20260501000259 ME Practitioner - Pediatric Medicine 9436253408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Water St
Waterville, ME 04901-6559

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137-320WIMDCardiovascular Disease Physician
036-108494ILMDPediatric Emergency Medicine (Pediatrics) Physician
01092245AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Apr 23, 2021 Accepting new patients
University of Chicago CurrentSince Jan 27, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Jul 1, 2024 Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 27, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 27, 2025 Accepting new patients
Cook County Current Accepting new patients
Mercy Health System Corporation CurrentSince Apr 23, 2021 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Carle Health Care Incorporated Family Medicine CurrentSince Oct 3, 2023 Accepting new patients
Tabitha Watts MD LTD Current Accepting new patients
Children'S Health System Past Accepting new patients
Jacksonville Hospital LLC Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

6501 S Promontory Dr
Chicago, IL 60649
Phone (773) 256-5724

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

308 W Market St
Crawfordsvlle, IN 47933
Phone (765) 359-1660

12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

Interoperability endpoints

  • Direct secure messaging: twatts101800@direct.chw.org
  • Direct secure messaging: tabitha.watts.1@11074.direct.athenahealth.com
  • Direct secure messaging: twatts@direct.ccprovider.org
  • Direct secure messaging: twatts916293@ahs.direct-ci.com
  • Direct secure messaging: twatts183938@uihealth.direct-ci.com

Organizations & group practices 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1750469987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4645",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606804645",
            "telephone_number": "312-451-5695",
            "fax_number": "312-264-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 S MICHIGAN AVE # 1307",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052810",
            "telephone_number": "888-437-2682",
            "fax_number": "312-264-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 NW 26th St",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550605503",
            "country_code": "US",
            "telephone_number": "507-451-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371443",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12750 Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463070264",
            "country_code": "US",
            "telephone_number": "219-757-6005",
            "fax_number": "219-681-6823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4855 S Moorland Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531517494",
            "country_code": "US",
            "telephone_number": "262-432-7599",
            "fax_number": "262-432-7694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4177 S Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606321849",
            "country_code": "US",
            "telephone_number": "773-932-1142",
            "fax_number": "773-902-1104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043308160",
            "country_code": "US",
            "telephone_number": "207-626-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "TABITHA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "137-320",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-108494",
            "primary": true
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "IL",
            "license": "036-108494",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01092245A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "83519",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01092245A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twatts@direct.ccprovider.org",
            "affiliation": "Y",
            "affiliationName": "Cook County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1969 W. Ogden Ave.",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606123723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twatts@direct.ccprovider.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1449 S Michigan Ave # 1307",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606052810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.