Individual provider Active NPI

Courtenay Craig Watt, MD

  • Emergency Medicine Physician
  • Williamsville, NY
National Provider Identifier
1841233442
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2026711 Issued in NY
Practice address
1540 Maple Rd
Emergency Room
Williamsville, NY 14221-3647
Phone
(716) 681-8838
Fax
(716) 564-1134
NPI assigned
Jun 13, 2006
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2026711 NY Primary

Addresses

Primary practice location

1540 Maple Rd
Emergency Room
Williamsville, NY 14221-3647

Mailing address

305 Cayuga Rd
Suite 190
Cheektowaga, NY 14225-1980
Phone (716) 681-8838

Other identifiers 6

IdentifierTypeStateIssuer
01647685MedicaidNY
00046086801OtherNYUNIVERA HEALTH CARE
000524706003OtherNYBLUE CROSS BLUE SHIELD
040426000857OtherNYFIDELIS
3910437OtherNYINDEPENDENT HEALTH
930039380OtherNYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050531000853 NY Practitioner - Emergency Medicine 2769424712 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York at Buffalo School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delphi Healthcare PLLCGroup PAC ID 9537229661, 68 clinicians

Practice addresses (Care Compare)

845 Routes 5 and 20
Irving, NY 14081-9706
Phone (716) 951-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2026711NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Keystone Medical Services of New York, PC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Buffalo Emergency Associates LLP Emergency Medicine CurrentSince Sep 15, 2012 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Oct 15, 2019 Accepting new patients
MFHS Physicians' Emergency Services, PC Emergency Medicine Past Accepting new patients
Professional Emergency Services PLLC Emergency Medicine PastSince Jul 1, 2007 Accepting new patients

Locations

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1841233442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CAYUGA RD",
            "address_2": "SUITE 190",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251980",
            "telephone_number": "716-681-8838",
            "fax_number": "716-564-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 MAPLE RD",
            "address_2": "EMERGENCY ROOM",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213647",
            "telephone_number": "716-681-8838",
            "fax_number": "716-564-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATT",
        "first_name": "COURTENAY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "2026711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01647685",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTH CARE",
            "identifier": "00046086801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000524706003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426000857",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "3910437",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930039380",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.