Individual provider Active NPI

Caitlin G. Waters, MD

  • Internal Medicine Physician
  • North Chelmsford, MA
National Provider Identifier
1841600178
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
277373 Issued in MA
Practice address
20 Research PL Ste 310
North Chelmsford, MA 01863-2455
Phone
(978) 459-2152
Fax
(978) 452-7285
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 277373 MA Primary

Addresses

Primary practice location

20 Research PL Ste 310
North Chelmsford, MA 01863-2455

Mailing address

295 Varnum Ave
Lowell, MA 01854-2193
Phone (978) 788-7374

Other practice location 1

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

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
I20181219002796 MA Practitioner - Internal MedicinePractitioner - Sports Medicine 1153548516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LGH Professional Services LLCGroup PAC ID 8921364159, 10 clinicians

Practice addresses (Care Compare)

20 Research PL
Suite 310
North Chelmsford, MA 01863-2455
Phone (978) 459-2152

Hospital & facility affiliations

  • Tufts Medicine Care at Home Home health agency, Lowell, MA, CCN 227206
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Amedisys Home Health Care Home health agency, Wakefield, MA, CCN 227211
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Professional Services LLC Internal Medicine CurrentSince Jan 7, 2019 Accepting new patients
LGH Medical Group, Inc. Past Accepting new patients

Locations

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

20 Research Pl
Ste 310
North Chelmsford, MA 01863
Phone (978) 459-2152

20 Research Pl
North Chelmsford, MA 01863
Phone (978) 788-7200

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 4

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1841600178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542193",
            "telephone_number": "978-788-7374",
            "fax_number": "978-788-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL STE 310",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632455",
            "telephone_number": "978-459-2152",
            "fax_number": "978-452-7285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019702714",
            "country_code": "US",
            "telephone_number": "978-741-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERS",
        "first_name": "CAITLIN",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "277373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.