Active NPI
Richard O Watson, MD
- Emergency Medicine Physician
- Chicago Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036.102951
- Practice address
- 30 E 15TH St
Chicago Heights, IL 60411 - Phone
- (312) 206-1064
- Fax
- (708) 991-2630
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036.102951 | IL | Primary |
Addresses
Primary practice location
30 E 15TH St
Chicago Heights, IL 60411
Mailing address
PO Box 786
Flossmoor, IL 60422-0786
Phone (312) 206-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, NY, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081010000223 | IL | Practitioner - Emergency Medicine | 7113095688 | Reassigns benefits to 4 organizations |
| I20091013000081 | IN | Practitioner - Emergency Medicine | 7113095688 | Reassigns benefits to 3 organizations |
| I20240501003737 | NY | Practitioner - Emergency Medicine | 7113095688 | Reassigns benefits to 2 organizations |
| I20260330001255 | KY | Practitioner - Emergency Medicine | 7113095688 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Howard University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Laurelton Medical Physicians PLLCSamuel Akuoku Physician PLLCBaptist Health Medical Group Inc
Practice addresses (Care Compare)
20180 S Lagrange Rd
Frankfort, IL 60423-3153
Phone (708) 887-8110
22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (718) 949-6433
30 E 15TH St
Chicago Heights, IL 60411-3459
3516 E 10TH St
Jeffersonville, IN 47130-9315
Phone (812) 981-8970
5518 Calumet Ave
Hammond, IN 46320-2017
Phone (219) 803-0379
7702 Bardstown Rd
Louisville, KY 40291-3207
Phone (502) 928-4700
Hospital & facility affiliations
- Baptist Health Floyd
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.102951 | IL | MD | Emergency Medicine Physician |
Practice roles (12 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emerge Medstaffing LLC | Current | Accepting new patients | |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emerge Medstaffing LLC | Emergency Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| App of Illinois Ed PLLC | Emergency Medicine | Current | Accepting new patients |
| Laurelton Medical Physicians PLLC | Current | Accepting new patients | |
| Calumet Quick Care LTD | Current | Accepting new patients | |
| North Indiana Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
Locations
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
Carol Stream, IL 60122
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
30 E 15th St
Chicago Hts, IL 60411
Phone (312) 206-1064
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035
1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000
5518 Calumet Ave
Hammond, IN 46320
Phone (219) 803-0379
1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335
11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100
7702 Bardstown Rd
Louisville, KY 40291
Phone (502) 925-4100
22414 Merrick Blvd
Laurelton, NY 11413
Phone (718) 949-6433
22414 Merrick Blvd
Ste B
Laurelton, NY 11413
Phone (718) 949-6433
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Waukegan, IL
- NPI 1053860080
Emergency Medicine, IL
-
- Emergency Medicine Physician
- Yorkville, IL
- NPI 1407379423
Emergency Medicine, IL
-
- Emergency Medicine Physician
- La Porte, IN
- NPI 1144691478
Emergency Medicine, IN
-
- Emergency Medicine Physician
- Chicago Heights, IL
- NPI 1780167841
Emergency Medicine
-
- Emergency Medicine Physician
- Aurora, IL
- NPI 1508389628
Emergency Medicine
-
- Rural Health Clinic/Center
- Salem, IN
- NPI 1225633761
Hospital & facility affiliations 1
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": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1962472886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 786",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604220786",
"telephone_number": "312-206-1064",
"fax_number": "708-991-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 15TH ST",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "60411",
"telephone_number": "312-206-1064",
"fax_number": "708-991-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "RICHARD",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036.102951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.