Individual provider Active NPI

James Brian Waters, MD

  • Interventional Cardiology Physician
  • N Chelmsford, MA
National Provider Identifier
1821038878
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
56915 Issued in MA
Practice address
14 Research PL
N Chelmsford, MA 01863-2412
Phone
(978) 256-6607
Fax
(978) 250-8189
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 56915 MA Primary
Cardiovascular Disease Physician 207RC0000X 56915 MA

Addresses

Primary practice location

14 Research PL
N Chelmsford, MA 01863-2412

Mailing address

14 Research PL
N Chelmsford, MA 01863-2412
Phone (978) 256-6607

Other identifiers 1

IdentifierTypeStateIssuer
3123171MedicaidMA

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
I20040909000877 MA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 1052387511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Tufts University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LGH Merrimack Valley Cardiology Associates, LLCGroup PAC ID 4082886569, 22 clinicians

Practice addresses (Care Compare)

14 Research PL
Suite 3
North Chelmsford, MA 01863-2460
Phone (978) 256-6607

Hospital & facility affiliations

  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting81
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Cardiology Cardiovascular Disease Current Accepting new patients
LGH Merrimack Valley Cardiology Associates, LLC Cardiovascular Disease CurrentSince Oct 1, 2011 Accepting new patients

Locations

27 Village Sq
Chelmsford, MA 01824
Phone (978) 244-0060

33 Bartlett St
Ste 503
Lowell, MA 01852
Phone (978) 458-4300

14 Research Pl
North Chelmsford, MA 01863
Phone (978) 256-6607

14 Research Pl
Ste 3
North Chelmsford, MA 01863
Phone (978) 256-6607

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.

Hospital & facility affiliations 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1821038878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-256-6607",
            "fax_number": "978-250-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RESEARCH PL",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632412",
            "telephone_number": "978-256-6607",
            "fax_number": "978-250-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "JAMES",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "56915",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "56915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123171",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.