Individual provider Active NPI

Thomas Lee Watkins, D.O.

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1861426348
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010079 Issued in MI
Practice address
855 Oakridge Rd.
Muskegon, MI 49441-4023
Phone
(231) 755-6038
Fax
(231) 747-9645
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101010079 MI Primary

Addresses

Primary practice location

855 Oakridge Rd.
Muskegon, MI 49441-4023

Mailing address

855 Oakridge Rd.
Muskegon, MI 49441-4023
Phone (231) 755-6038

Other identifiers 1

IdentifierTypeStateIssuer
1843599MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr_watkins@comcast.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101101000887 MI Practitioner - Family Practice 1759575087 Receives reassigned benefits from 1 practitioner
Practice locations: Muskegon, MI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

855 Oakridge Rd
Muskegon, MI 49441-4023
Phone (231) 755-6038

Hospital & facility affiliations

  • Harbor Hospice Hospice, Muskegon, MI, CCN 231508
  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Mercy Health Lakeshore Campus Hospital, Shelby, MI, CCN 231320
  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal or shaving of skin growth20
Skin biopsy34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101010079MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Watkins, DO Family Medicine CurrentSince Jun 4, 1987 Accepting new patients

Locations

855 Oakridge Rd
Muskegon, MI 49441
Phone (231) 755-6038

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1861426348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 OAKRIDGE RD.",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414023",
            "telephone_number": "231-755-6038",
            "fax_number": "231-747-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 OAKRIDGE RD.",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414023",
            "telephone_number": "231-755-6038",
            "fax_number": "231-747-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1843599",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr_watkins@comcast.net",
            "affiliation": "N",
            "endpointDescription": "Dr watkins direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "855 Oakridge Rd.",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494414023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.