Individual provider Active NPI

Kimberley Monique Watson, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1780178673
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD474536 Issued in PA
Practice address
220 W Chelten Ave
Philadelphia, PA 19144-3803
Phone
(215) 310-7022
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD474536 PA Primary
Family Medicine Physician 207Q00000X MT215655 PA

Addresses

Primary practice location

220 W Chelten Ave
Philadelphia, PA 19144-3803

Mailing address

PO Box 746722
Atlanta, GA 30374-6722

Other practice location 1

1260 E Woodland Ave Ste 200
Springfield, PA 19064-3956
Phone (610) 690-4490

Other practice location 2

400 E Germantown Pike
East Norriton, PA 19401-6506
Phone (610) 994-0063

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAExchange@patientfirst.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210804000217 PA Practitioner - Family Practice 7517361199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Pennsylvania Medical Group PLLCGroup PAC ID 5193900280, 132 clinicians
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

133 Lancaster Ave
Devon, PA 19333-1503
Phone (484) 581-2990

220 W Chelten Ave
Philadelphia, PA 19144-3803
Phone (215) 310-7022

400 E Germantown Pike
East Norriton, PA 19401-6506
Phone (610) 994-0063

5125 Jonestown Rd
Suite 105
Harrisburg, PA 17112-2987
Phone (717) 943-1566

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT215655PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Pennsylvania Medical Group PLLC Family Medicine Current Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Sep 24, 2025 Accepting new patients
Patient First Pennsylvania Medical Group PLLC Family Medicine CurrentSince Sep 24, 2025 Accepting new patients
Temple Physicians Inc Family Medicine CurrentSince Sep 19, 2021 Accepting new patients
Fair Hill Community Physicians Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Temple Physician Inc. CurrentSince Sep 19, 2021 Accepting new patients
Osh - PA Physicians Group, PC Family Medicine CurrentSince Oct 13, 2025 Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566

713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944

400 E Germantown Pike
Norristown, PA 19401
Phone (610) 994-0063

1300 W Lehigh Ave
#A
Philadelphia, PA 19132
Phone (215) 226-8800

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

220 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 310-7022

1300 W Lehigh Ave
Philadelphia, PA 19132
Phone (215) 226-8800

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656

133 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 324-0600

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1780178673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W CHELTEN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443803",
            "telephone_number": "215-310-7022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 E Woodland Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190643956",
            "country_code": "US",
            "telephone_number": "610-690-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194016506",
            "country_code": "US",
            "telephone_number": "610-994-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KIMBERLEY",
        "middle_name": "MONIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD474536",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT215655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAExchange@patientfirst.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "400 E Germantown Pike",
            "city": "East Norriton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194016506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.