KEITH F WATSON (M.D) – Specialist, NPI 1972540557

KEITH F WATSON (M.D) is a healthcare provider. based in Bloomington, Indiana. specializing in Specialist. They hold the professional credentials M.D. They hold a License No. C0223 (KY). The NPI Number for KEITH F WATSON (M.D) is 1972540557

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
KEITH F WATSON (M.D)
NPI
1972540557
Phone
(812) 676-4660
Address
550 S LANDMARK AVE
Enumeration Date
1 June 2006
Last Update Date
15 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7015307000
Graduation Year
1986 (40 years ago)
PAC ID
4486827698
Group Practice PAC ID
8426960865
Professional Enrollment ID
I20190423002034

Contacts

Secure Messaging
kwatson@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness85
Years active:20State licenses:4Other namesUpdated within 12 months

Provider Addresses for KEITH F WATSON (M.D)

  • 550 S LANDMARK AVE

    BLOOMINGTON, IN 474033239

    Phone: (812) 676-4660

    Fax: (812) 676-4501

    Type: Location

  • 631 GLENTIES DRIVE

    SMYRNA, TN 37167

    Phone: (615) 419-7744

    Fax: (615) 205-6878

    Type: Mailing

  • 911 Bypass Rd Bldg A

    Pikeville, KY 415011689

    Phone: (606) 430-2208

    Fax: (606) 218-7508

    Type: Location

  • 631 Glenties Drive

    Smyrna, TN 37167

    Phone: (615) 419-7744

    Fax: (615) 205-6878

    Type: Location

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

  • 5651, Frist Boulevard, Travis, Nashville, Davidson County, Middle Tennessee, Tennessee, 37076, United States

    SUITE 701

    HERMITAGE, TN 370762054

    Phone: (615) 885-0277

    Type: Mailing

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: 2019-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180517001707INephrologyARTBD
I20190423002034INephrologyNDTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes26884$0
99214Established patient office or other outpatient visit, 30-39 minutes14893$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9954$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8378$0
90935Hemodialysis procedure with physician evaluation6324$0
View full utilization report →

Insurance plans in this area (ZIP 47403)

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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: 8426960865View full group profile
NameSpecialtyState
Internal MedicineND
A N E S T H E S I O L O G YIN
-ND
H O S P I T A L I S TND
Certified Registered Nurse Anesthetist (Crna)ND
N E P H R O L O G YKY
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyRI
-NY
-ND
Internal Medicine, HospitalistNC

Reviews

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Frequently asked questions

Is there an official ID for KEITH F WATSON (M.D) in U.S. healthcare records?
The official identifier for KEITH F WATSON (M.D) is NPI 1972540557.
Would KEITH F WATSON (M.D) appear as active to a payer?
You can treat KEITH F WATSON (M.D) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KEITH F WATSON (M.D)?
KEITH F WATSON (M.D) is associated with Other Service Providers in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KEITH F WATSON (M.D)?
Directory geography for KEITH F WATSON (M.D) centers on Bloomington, Indiana.
Can I trust this NPI listing for KEITH F WATSON (M.D)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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