DR. KENNETH W WATERS MD
NPI 1811065584
Anesthesiology in Mclean, VA
About Dr. Kenneth W Waters Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH W WATERS MD (NPI 1811065584) is an individual anesthesiology provider in Mclean, Virginia, licensed in Virginia (0101252186) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Inova Fair Oaks Hospital, and is a graduate of University Of Vermont College Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kenneth W Waters Md 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 Billing Reassignment
Medicare enrollment records show Kenneth Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 318 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Fair Oaks Hospital
Acute Care Hospitals · Fairfax, VAFrequently 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 Waters's NPI number?
The NPI number for Kenneth Waters is 1811065584. It was assigned to this individual provider in the NPPES registry on December 1, 2006.
Where is Kenneth Waters located?
Kenneth Waters practices at Kaiser Permanente Tysons Corner Medical Center 8008 Westpark Drive, Mclean, VA 22102. The listed phone number is (703) 489-1405.
What is Kenneth Waters's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Kenneth Waters enrolled in Medicare?
Yes. Kenneth Waters 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.
Which organization bills Medicare for Kenneth Waters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Waters reassigns Medicare benefits to Inova Cares - Community (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Waters accept?
Health plans from Oscar Health list Kenneth Waters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kenneth Waters affiliated with any hospitals?
According to CMS data, Kenneth Waters is affiliated with Inova Fair Oaks Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Waters was last updated on July 23, 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.
# Dr. Kenneth W Waters, MD · NPI 1811065584
Anesthesiology physician in Mclean, Virginia. Individual provider, active in the CMS NPPES registry since December 1, 2006.
## Identity
- **NPI:** 1811065584 (Entity type: Individual)
- **Enumerated:** December 1, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 0101252186 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER, 8008 WESTPARK DRIVE, Mclean, VA 22102
- **Phone:** (703) 489-1405
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Inova Cares - Community (NPI 1861131906, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2003
## Record status
- **NPPES last updated:** July 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811065584) · Data from the CMS NPPES public registry.