MR. KENNETH LEE WATSON
NPI 1699090993
Physician Assistant - Medical in Philadelphia, PA
About Mr. Kenneth Lee Watson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH LEE WATSON (NPI 1699090993) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA060559) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kenneth Lee Watson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PHILADELPHIA, PA 19140
PHILADELPHIA, PA 19140
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 Kenneth Watson's NPI number?
The NPI number for Kenneth Watson is 1699090993. It was assigned to this individual provider in the NPPES registry on March 30, 2010.
Where is Kenneth Watson located?
Kenneth Watson practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3133.
What is Kenneth Watson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kenneth Watson enrolled in Medicare?
Yes. Kenneth Watson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kenneth Watson was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mr. Kenneth Lee Watson · NPI 1699090993
Medical physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 30, 2010.
## Identity
- **NPI:** 1699090993 (Entity type: Individual)
- **Enumerated:** March 30, 2010
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** MA060559 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 N BROAD ST, Philadelphia, PA 19140-5103
- **Phone:** (215) 707-3133 · **Fax:** (215) 707-3945
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1699090993) · Data from the CMS NPPES public registry.