Active NPI
Scott Victor Watkins, M.D.
- Radiation Oncology Physician
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- D0062224
- Practice address
- 12500 Willowbrook Rd
Cumberland, MD 21502-6393 - Phone
- (240) 964-1480
- Fax
- (240) 964-1490
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | D0062224 | MD | Primary |
Addresses
Primary practice location
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Mailing address
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-1480
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 941810501 | Medicaid | MD | |
| 0016490810001 | Medicaid | PA | |
| 0122100000 | Medicaid | WA | |
| 002376161 | Other | MARYLAND PHYSICIANS CARE | |
| K906 | Other | MA | CAREFIRST |
| 203095881 | Other | TRICARE | |
| P00274052 | Other | RR MEDIARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- West Virginia University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0062224 | MD | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients |
Locations
801 Harrison Ave
Elkins, WV 26241
Phone (304) 637-3640
1325 Locust Ave
Fairmont, WV 26554
Phone (304) 367-7100
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1811959349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026393",
"telephone_number": "240-964-1480",
"fax_number": "240-964-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 WILLOWBROOK RD",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215026393",
"telephone_number": "240-964-1480",
"fax_number": "240-964-1490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "SCOTT",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MD",
"license": "D0062224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "941810501",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016490810001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0122100000",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND PHYSICIANS CARE",
"identifier": "002376161",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "K906",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "203095881",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDIARE",
"identifier": "P00274052",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.