Individual provider Active NPI

James Keith Watson, MD

  • Diagnostic Radiology Physician
  • Huntington, WV
National Provider Identifier
1841322179
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
22693 Issued in WV
Practice address
3448 US Route 60
Huntington, WV 25705-2906
Phone
(304) 522-1550
Fax
(304) 522-0704
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 41084 KY
Diagnostic Radiology Physician 2085R0202X 2023-03510 NC
Diagnostic Radiology Physician 2085R0202X 35090137 OH
Diagnostic Radiology Physician 2085R0202X 22693 WV Primary

Addresses

Primary practice location

3448 US Route 60
Huntington, WV 25705-2906

Mailing address

PO Box 910
Huntington, WV 25712-0910
Phone (304) 522-1550

Other identifiers 10

IdentifierTypeStateIssuer
000000221899OtherOHUNISON
7842870OtherAETNA
3810008681MedicaidWV
P00413760OtherWVRR MEDICARE (WV)
P00766035OtherKYRR MEDICARE (KY)
001968311OtherWVMTN ST BCBS
550493376 00OtherWVWV WORKER'S COMPENSATION
7100005910MedicaidKY
2728909MedicaidOH
50016928OtherKYPASSPORT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC2 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
I20070427000274 WV Practitioner - Diagnostic Radiology 4688770282 Reassigns benefits to 3 organizations
I20240207000837 NC Practitioner - Diagnostic Radiology 4688770282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kentucky College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Radiology Associates PLLCGroup PAC ID 8729086194, 75 clinicians

Practice addresses (Care Compare)

100 Robinhood Medical PLZ
Winston Salem, NC 27106-5472
Phone (336) 718-0858

105 Vest Mill Cir
Winston Salem, NC 27103-2943
Phone (336) 718-7800

1225 Lewisville Clemmons Rd
Lewisville, NC 27023-8251
Phone (336) 712-0700

140 Kimel Park Dr
Winston Salem, NC 27103-6160
Phone (336) 245-2100

144 Forest Hill Rd
Lexington, NC 27295-2008
Phone (336) 970-5300

152 E Kinderton Way
Suite 101
Bermuda Run, NC 27006-7351
Phone (336) 893-3190

1570 NC 8 and 89 Hwy N
Danbury, NC 27016-7360
Phone (336) 593-5306

167 Moore Rd
King, NC 27021-8770
Phone (336) 985-2110

170 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 768-1270

1730 Kernersville Medical Pkwy
Kernersville, NC 27284-7198

185 Kimel Park Dr
Winston Salem, NC 27103-6973
Phone (336) 760-1880

1950 S Hawthorne Rd
Winston Salem, NC 27103-3912
Phone (336) 718-0785

200 Robinhood Medical PLZ
BLDG 2
Winston Salem, NC 27106-5471
Phone (336) 718-7950

2010 Baldwin LN
Winston Salem, NC 27103-5846
Phone (336) 277-1717

2025 Frontis Plaza Blvd
Suite 300
Winston Salem, NC 27103-5663
Phone (336) 397-6035

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000

211 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 474-8199

216 Moore Rd
King, NC 27021-8703
Phone (336) 983-4346

280 N Pointe Blvd
Mount Airy, NC 27030-2267
Phone (336) 783-8431

3001 Lyndhurst Ave
Winston Salem, NC 27103-4007
Phone (336) 765-0383

305 E Lee Ave
Yadkinville, NC 27055-8132
Phone (336) 679-2661

3155 Maplewood Ave
Winston Salem, NC 27103-3903
Phone (336) 397-6100

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-3261

4136 Clemmons Rd
Suite 100
Clemmons, NC 27012-7520
Phone (336) 893-3270

445 Pineview Dr
Kernersville, NC 27284-3818
Phone (336) 397-6102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP154KYMDPediatrics Physician
35090137OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Feb 1, 2014 Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Appalachian Mountains Medical, LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

3015 Maplewood Ave
Ste 200
Winston Salem, NC 27103
Phone (336) 794-4188

3010 Trenwest Dr
Winston Salem, NC 27103
Phone (336) 718-5844

105 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 255-6404

223 Dry Hill Rd
Beckley, WV 25801

400 Court St
#303
Charleston, WV 25301
Phone (304) 345-1503

3448 US Route 60
Huntington, WV 25705
Phone 3045521550 ext. 229

454 McDowell St
Welch, WV 24801
Phone (304) 436-8461

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.

Hospital & facility affiliations 5

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1841322179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257120910",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 US ROUTE 60",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052906",
            "telephone_number": "304-522-1550",
            "fax_number": "304-522-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JAMES",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "41084",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2023-03510",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35090137",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "22693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000221899",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7842870",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810008681",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (WV)",
            "identifier": "P00413760",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE (KY)",
            "identifier": "P00766035",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN ST BCBS",
            "identifier": "001968311",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WORKER'S COMPENSATION",
            "identifier": "550493376 00",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100005910",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2728909",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50016928",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.