NAOMI MARIE WATKINS-GRANVILLE
NPI 1194346684
Surgery in Philadelphia, PA

Active since May 06, 2020PECOS Enrolled
3401 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, May 6, 2020 (2 updates tracked since 2020).

About Naomi Marie Watkins-granville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAOMI MARIE WATKINS-GRANVILLE (NPI 1194346684) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT024520) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194346684
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameNAOMI MARIE WATKINS-GRANVILLE
Location Address3401 N BROAD STPhiladelphia, PA 19140-5189
Mailing Address45 Sycamore DrBurlington, NJ 08016-3137
Sole ProprietorNo
Enumeration DateMay 6, 2020
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1194346684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · OT024520
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3401 N BROAD ST, Philadelphia, PA 19140

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Naomi Marie Watkins-granville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Naomi Watkins-granville's NPI number?

The NPI number for Naomi Watkins-granville is 1194346684. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Naomi Watkins-granville located?

Naomi Watkins-granville practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (800) 836-7536.

What is Naomi Watkins-granville's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Naomi Watkins-granville enrolled in Medicare?

Yes. Naomi Watkins-granville is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Naomi Watkins-granville was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.