Individual provider Active NPI

Libby Susan Watch, MD

  • Vascular Surgery Physician
  • Miami, FL
National Provider Identifier
1831238864
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
109569 Issued in FL
Practice address
8950 N Kendall Dr
504
Miami, FL 33176-2144
Phone
(305) 274-2030
Fax
(305) 279-0878
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME109569 FL
Vascular Surgery Physician 2086S0129X 109569 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr
504
Miami, FL 33176-2144

Mailing address

8950 N Kendall Dr
504
Miami, FL 33176-2144
Phone (305) 274-2030

Other identifiers 1

IdentifierTypeStateIssuer
004273400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111221000562 FL Practitioner - Vascular Surgery 1557442217 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109569FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PVL Associates Inc CurrentSince Jul 20, 2014 Accepting new patients
Mori Bean and Brooks Inc CurrentSince Apr 4, 2023 Accepting new patients
Radiology Associates of South Florida LLC CurrentSince Jan 7, 2012 Accepting new patients
American Access Care of Miami, LLC CurrentSince Aug 29, 2021 Accepting new patients
Surgical Group of Miami LLC Vascular Surgery CurrentSince Nov 1, 2011 Accepting new patients

Locations

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

9200 S Dadeland Blvd
Ste 101
Miami, FL 33156
Phone (305) 670-1044

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950

8950 N Kendall Dr
Ste 504
Miami, FL 33176
Phone (270) 313-7347

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

9200 S Dadeland Blvd
Ste 204
Miami, FL 33156
Phone (305) 670-1044

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

1120 NW 14th St
Miami, FL 33136
Phone (305) 243-2000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

8770 SW 144th St
Palmetto Bay, FL 33176
Phone (305) 252-9408

151 N Nob Hill Rd
Plantation, FL 33324
Phone (561) 549-9090

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Interoperability endpoints

  • Direct secure messaging: libby.watch.p92@direct.aac.nextgenshare.com
  • Direct secure messaging: libby.watch.p21@direct.aac.nextgenshare.com

Organizations & group practices 5

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1831238864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-274-2030",
            "fax_number": "305-279-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "504",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-274-2030",
            "fax_number": "305-279-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATCH",
        "first_name": "LIBBY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME109569",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "109569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004273400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.