Active NPI
John Ward Watson, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 036116328
- Practice address
- 747 N Rutledge St FL 4
Springfield, IL 62702-6700 - Phone
- (217) 545-8000
- Fax
- (217) 545-7053
- NPI assigned
- May 24, 2005
- Last updated
- Oct 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036116328 | IL | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD071749L | PA |
Addresses
Primary practice location
747 N Rutledge St FL 4
Springfield, IL 62702-6700
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Phone (217) 545-8000
Other practice location 1
305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone (618) 457-3006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361167328 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwatson13720@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NC, IA, WI, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Wake Forest University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361
305 W Jackson St
Carbondale, IL 62901-1474
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.78 of 100
- Quality
- 81.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33910 | NC | MD | Pharmacist |
| 036116328 | IL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| MD071749L | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Froedtert South, Inc. | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| Southeastern Regional Physician Services | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Cardiac and Thoracic Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Sanford Medical Center Fargo | Past | Accepting new patients | |
| Prairie Cardiovascular Consultants LTD | Past | Accepting new patients |
Locations
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112
747 N Rutledge St
Fl 4
Springfield, IL 62702
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
1249 Chicken Foot Rd
Ste C
Hope Mills, NC 28348
Phone (910) 735-8122
2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619
395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
9555 76th St
Ste 3880
Pleasant Prairie, WI 53158
Phone (263) 653-5483
Interoperability endpoints
- jwatson1011199@direct.unc.nchie.net
Organizations & group practices 19
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.
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba SIU HealthCare
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
dba Froedtert South Medical Group
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
dba Mercy Family Counseling, Mercy Psychiatric
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1700834165
-
- Multi-Specialty Clinic/Center
- Lumberton, NC
- NPI 1427282045
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
dba Hall Perrine Cancer Center Pharmacy
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1114923513
-
dba Mercy Professional Services
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1669617106
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1871596726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19639",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949639",
"telephone_number": "217-545-8000",
"fax_number": "844-470-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 N RUTLEDGE ST FL 4",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627026700",
"telephone_number": "217-545-8000",
"fax_number": "217-545-7053"
}
],
"practiceLocations": [
{
"address_1": "305 W Jackson St Ste 206",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011474",
"country_code": "US",
"telephone_number": "618-457-3006",
"fax_number": "618-457-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "JOHN",
"middle_name": "WARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036116328",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD071749L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0361167328",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwatson13720@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 206",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.