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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ROOSEVELT WATSON MD
NPI 1235104308
Family Medicine in Las Vegas, NV

Active since February 21, 2006PECOS Enrolled
650 N NELLIS, LAS VEGAS, NV 89110(702) 459-7424 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roosevelt Watson Md NPPES

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

ROOSEVELT WATSON MD (NPI 1235104308) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (9995) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235104308
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROOSEVELT WATSONCredential: MD
Location Address650 N NELLISLas Vegas, NV 89110
Mailing AddressPo Box 15645Las Vegas, NV 89114-5645 · (702) 242-7786 · Fax (702) 240-8790
Phone(702) 459-7424
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1235104308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 9995
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

650 N NELLIS, Las Vegas, NV 89110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roosevelt Watson Md 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 89110 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Roosevelt Watson's NPI number?

The NPI number for Roosevelt Watson is 1235104308. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Roosevelt Watson located?

Roosevelt Watson practices at 650 N Nellis, Las Vegas, NV 89110. The listed phone number is (702) 459-7424.

What is Roosevelt Watson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roosevelt Watson enrolled in Medicare?

Yes. Roosevelt Watson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roosevelt Watson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.