KIMBERLY D. WATTS MD - NPI 1891816781 - Pediatrics in Park Ridge, IL

Q: What is Kimberly Watts's NPI number?

The NPI number for Kimberly Watts is 1891816781. It was assigned to this individual provider in the NPPES registry on April 2, 2007. The provider is also known as Kimberly M. Danieli.

Q: What is Kimberly Watts's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Watts was last updated on July 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimberly D. Watts Md NPPES

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

KIMBERLY D. WATTS MD (NPI 1891816781) is an individual pediatric pulmonology provider in Park Ridge, Illinois, licensed in Illinois (036111459) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1891816781

Entity TypeIndividualFemale

Primary Taxonomy2080P0214X

Provider Legal NameKIMBERLY D. WATTSCredential: MD

Location Address1675 DEMPSTER ST FL 2Park Ridge, IL 60068-1110

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(847) 318-9330

Fax(847) 318-9051

Sole ProprietorNo

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 15, 2022

NPPES CertifiedJuly 15, 2022

✔ NPI 1891816781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

License✔ Licensed in IL · 036111459

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

1675 DEMPSTER ST FL 2, Park Ridge, IL 60068

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Other Names 1

Former Name (1)Kimberly M. Danieli

Secondary Practice Location 1

Location 12300 N Childrens Plz # 43Chicago, IL 60614-3363 · Phone (773) 880-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly D. Watts 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 7

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

INNESSA MICHELLE DONSKOY MD

Pediatrics (Sleep Medicine)