Individual provider Active NPI

Ammara Abbasi Watkins, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Burlington, MA
National Provider Identifier
1790071546
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
257502 Issued in MA
Practice address
41 Mall Road Lahey Hospital & Medical Center
Burlington, MA 01805-5501
Phone
(781) 744-8000
Fax
(781) 744-5246
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 248891 MA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 257502 MA Primary

Addresses

Primary practice location

41 Mall Road Lahey Hospital & Medical Center
Burlington, MA 01805-5501

Mailing address

120 Walnut St
Dedham, MA 02026-3213
Phone (678) 923-8816

Other practice location 1

110 Francis St
Suite 9B
Boston, MA 02215-5501
Phone (617) 632-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210812001156 MA Practitioner - Thoracic Surgery 6800137597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Emory University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians

Practice addresses (Care Compare)

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257502MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
248891MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Aug 4, 2021 Accepting new patients
Lahey Clinic, Inc. CurrentSince Aug 4, 2021 Accepting new patients
Lahey Clinic Hospital, Inc. Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

300 Mount Auburn St
Ste 419
Cambridge, MA 02138
Phone (617) 354-8771

Interoperability endpoints

  • Direct secure messaging: awatkins152241@direct.bilh.masshiway.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1790071546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WALNUT ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020263213",
            "telephone_number": "678-923-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL ROAD LAHEY HOSPITAL & MEDICAL CENTER",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018055501",
            "telephone_number": "781-744-8000",
            "fax_number": "781-744-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Francis St",
            "address_2": "Suite 9B",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155501",
            "country_code": "US",
            "telephone_number": "617-632-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "AMMARA",
        "middle_name": "ABBASI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "248891",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "257502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.