Luis Carlos Watanabe Tejada, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.149489 Issued in OH

Practice address

4760 E Galbraith Rd Ste 206
Cincinnati, OH 45236-6704

Phone

(513) 791-4490

Fax

(513) 791-7287

NPI assigned

Jul 8, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
• Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
• Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
• Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
• Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lwatanabe2486162@direct.bsmhealth.org
• Direct secure messaging: lwatanabetejada231197@direct-prd.stelizabeth.com

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.

• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Surgery Physician
  • Blue Ash, OH
  • NPI 1154942795

  Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Liberty TWP, OH
  • NPI 1730993270
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jewish Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1336478163
  Care Compare affiliation
• Mercy Health - Anderson Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1235239211
  Care Compare affiliation
• Mercy Health - Fairfield Hospital LLC

  • General Acute Care Hospital
  • Fairfield, OH
  • NPI 1467552471
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1912007931
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  • Clinical Medical Laboratory
  • Cincinnati, OH
  • NPI 1982728036

  Hospital

  Care Compare affiliation
• Mercy Health Kings Mills Hospital LLC

  • General Acute Care Hospital
  • Mason, OH
  • NPI 1790469146
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1942565841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD STE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366704",
            "telephone_number": "513-791-4490",
            "fax_number": "513-791-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E GALBRAITH RD STE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366704",
            "telephone_number": "513-791-4490",
            "fax_number": "513-791-7287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Centre View Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410175423",
            "country_code": "US",
            "telephone_number": "859-757-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATANABE TEJADA",
        "first_name": "LUIS",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.149489",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101057",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036138396",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "51618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halley Wasserman, M.D.
• Sarah Michelle Wasserman, M.S., CCC-SLP
• Carson Ashby Wassermann, MSW, LSW
• Jamie Wassler, LISW-S
• Lisa Waszkielewicz, L.P.N.
• Miho Watanabe
• Toshiyuki Watanabe, DPT
• David M Waterhouse, MD
• Cindy Jo Waters
• Glenn Stewart Waters, D.D.S.,M.D.

• Internal Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.

Verify at the official NPI Registry.