Individual provider Active NPI

Richard O Watson, MD

  • Emergency Medicine Physician
  • Chicago Heights, IL
National Provider Identifier
1962472886
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.102951 Issued in IL
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

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20081010000223 IL Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Preventive 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 PLLC 3 clinicians
Samuel Akuoku Physician PLLC 4 clinicians
Baptist Health Medical Group Inc 2,431 clinicians

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 Hospital, New Albany, IN, CCN 150044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.102951ILMDEmergency Medicine Physician

Practice roles (12 of 16)

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Apr 3, 2019 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 9, 2017 Accepting new patients
Emerge Medstaffing LLC CurrentSince Jan 26, 2015 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 9, 2017 Accepting new patients
Emerge Medstaffing LLC Emergency Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 14, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 14, 2023 Accepting new patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Sep 30, 2018 Accepting new patients
Laurelton Medical Physicians PLLC CurrentSince Mar 3, 2024 Accepting new patients
Calumet Quick Care LTD CurrentSince Oct 8, 2020 Accepting new patients
North Indiana Emergency Physicians, LLP Emergency Medicine CurrentSince Nov 11, 2017 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.