DR. DANIEL J WATERS MD
NPI 1790355451
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Q: What is Daniel Waters's NPI number?

The NPI number for Daniel Waters is 1790355451. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Q: What is Daniel Waters's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Waters was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 25, 2021PECOS Enrolled

1000 OAKLAND DR, KALAMAZOO, MI 49008(269) 337-6373 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Daniel J Waters Md NPPES

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

DR. DANIEL J WATERS MD (NPI 1790355451) is an individual student in an organized health care education/training program in Kalamazoo, Michigan, licensed in Michigan (4351048527) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790355451

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. DANIEL J WATERSCredential: MD

Location Address1000 OAKLAND DRKalamazoo, MI 49008-1282

Mailing Address1000 Oakland DrKalamazoo, MI 49008-1282

Phone(269) 337-6373

Sole ProprietorNo

Enumeration DateJune 25, 2021

NPPES CertifiedJune 25, 2021

✔ NPI 1790355451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351048527

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 OAKLAND DR, Kalamazoo, MI 49008

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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)

Dr. Daniel J Waters 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.

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.

ANDREW MATTINGLY MD

Student in an Organized Health Care Education/Training Program