Individual provider Active NPI

Wayne K Watson, MD

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1811995640
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F1300 Issued in TX
Practice address
10880 Edgemere Blvd # Tx79935
El Paso, TX 79935-1306
Phone
(915) 590-7800
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43840 AZ
Internal Medicine Physician 207R00000X F1300 TX Primary

Addresses

Primary practice location

10880 Edgemere Blvd # Tx79935
El Paso, TX 79935-1306

Mailing address

910 K East Redd Rd, El Paso TX 9912
PO Box #226
El Paso, TX 79912
Phone (915) 581-5555

Other identifiers 2

IdentifierTypeStateIssuer
125712305MedicaidTX
8A9677OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20041123001254 TX Practitioner - Internal Medicine 0749245249 Reassigns benefits to 3 organizations
I20241025000980 NM Practitioner - Family Practice 0749245249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
68.7
Promoting interoperability
100
Improvement activities
40
Cost
75.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince May 8, 2017 Accepting new patients
Conviva Medical Center Management of Texas, P.a. Family Medicine CurrentSince May 12, 2025 Accepting new patients
El Paso County Hospital District Hospitalist CurrentSince Dec 1, 2019 Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince May 12, 2025 Accepting new patients
El Paso County Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Hidalgo Medical Services CurrentSince Oct 1, 2024 Accepting new patients
Hidalgo Medical Services CurrentSince Oct 1, 2024 Accepting new patients
Hidalgo Medical Services Current Accepting new patients
Thomas Medical Associates Family Medicine Current Accepting new patients
Flagstaff Medical Center Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511

10880 Edgemere Blvd
El Paso, TX 79935
Phone (915) 590-7800

4774 Loma del Sur Dr
El Paso, TX 79934
Phone (915) 751-7773

9999 Kenworthy St
Ste A
El Paso, TX 79924
Phone (915) 298-3434

1740 Curie Dr
El Paso, TX 79902
Phone (915) 351-9044

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

10435 Vista del Sol Dr
El Paso, TX 79925
Phone (915) 591-6227

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 10

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1811995640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 K EAST REDD RD, EL PASO TX 9912",
            "address_2": "PO BOX #226",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-581-5555",
            "fax_number": "915-581-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 EDGEMERE BLVD # TX79935",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799351306",
            "telephone_number": "915-590-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "WAYNE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "43840",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F1300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125712305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A9677",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.