KENNETH IRA WATKINS (PA) – Medical Physician Assistant, NPI 1821097890

KENNETH IRA WATKINS (PA) is a healthcare provider. based in Hartford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000817 (CT). The NPI Number for KENNETH IRA WATKINS (PA) is 1821097890

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH IRA WATKINS (PA)
NPI
1821097890
Phone
(860) 972-0000
Address
80 SEYMOUR STREET
Enumeration Date
20 July 2005
Last Update Date
10 November 2015

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8435248171
Graduation Year
1998 (28 years ago)
PAC ID
8628012317
Group Practice PAC ID
7810809365
Professional Enrollment ID
I20260106000325
Address ID
SC299352008PO1680XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for KENNETH IRA WATKINS (PA)

  • Hartford Hospital, 80, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06102, United States

    HARTFORD HOSPITAL EMERGENCY MEDICINE

    HARTFORD, CT 061025037

    Phone: (860) 972-0000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050614000466IPhysician AssistantCTTBD
I20240426002893IPhysician AssistantNYTBD
I20240502002859IPhysician AssistantMATBD
I20260106000325IPhysician AssistantSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6565$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
99213Established patient office or other outpatient visit, 20-29 minutes3029$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b2119$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 06102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810809365View full group profile
NameSpecialtyState
Sleep Medicine, Cardiovascular Disease (Cardiology)SC
Emergency MedicineSC
Certified Nurse Midwife (Cnm)SC
Nurse PractitionerSC
Physician AssistantSC
-SC
P S Y C H I A T R YCO
Physician AssistantSC
-SC
Family PracticeNC

Reviews

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Frequently asked questions

Where can patients find KENNETH IRA WATKINS (PA)'s NPI?
You can confirm KENNETH IRA WATKINS (PA) with NPI 1821097890; it appears in the national provider directory.
Does this profile mean KENNETH IRA WATKINS (PA) is currently active?
Yes — KENNETH IRA WATKINS (PA) appears active in the national provider directory.
Can you summarize KENNETH IRA WATKINS (PA)'s specialty in plain language?
Clinically, the directory lists KENNETH IRA WATKINS (PA) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place KENNETH IRA WATKINS (PA)?
The snapshot lists Hartford, Connecticut for KENNETH IRA WATKINS (PA); download NPPES for the complete set.
Is KENNETH IRA WATKINS (PA) a real provider?
This page reflects official NPPES data for NPI 1821097890. Always confirm identity and privileges with the practice and licensing boards.

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