MR. MICHAEL P WATTA (PA-C) – Medical Physician Assistant, NPI 1669497319

MR. MICHAEL P WATTA (PA-C) is a healthcare provider. based in Shelby twp, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601002148 (MI). The NPI Number for MR. MICHAEL P WATTA (PA-C) is 1669497319

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL P WATTA (PA-C)
NPI
1669497319
Phone
(586) 314-0080
Address
50505 SCHOENHERR RD
Enumeration Date
13 July 2006
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5863140080
Graduation Year
1992 (34 years ago)
PAC ID
5395709240
Group Practice PAC ID
0547250607
Professional Enrollment ID
I20041119000110
Address ID
MI483153141SH50505RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MR. MICHAEL P WATTA (PA-C)

  • 50505, Schoenherr Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    SUITE 290

    SHELBY TWP, MI 483153140

    Phone: (586) 314-0080

    Fax: (877) 673-3562

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-07-17 • Largest payer in this snapshot: Resmed Corp ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Resmed Corp$14
View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041119000110IPhysician AssistantMITBD

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 minutes9565$0
View full utilization report →

Insurance plans in this area (ZIP 48315)

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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: 0547250607View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineMI
Pulmonary DiseaseMI
Pulmonary DiseaseMI
Nurse PractitionerMI
-MI
Pulmonary Disease, Critical Care (Intensivists)MI
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI
Pulmonary Disease, Internal MedicineMI
Pulmonary Disease, Critical Care (Intensivists)MI
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseMI

Reviews

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Frequently asked questions

How is MR. MICHAEL P WATTA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MR. MICHAEL P WATTA (PA-C) with NPI 1669497319.
Does the file indicate MR. MICHAEL P WATTA (PA-C) is practicing under active NPI?
Directory data currently reports MR. MICHAEL P WATTA (PA-C) as active.
What taxonomy line describes MR. MICHAEL P WATTA (PA-C)?
For research purposes, treat MR. MICHAEL P WATTA (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL P WATTA (PA-C)?
MR. MICHAEL P WATTA (PA-C)'s geographic hint is Shelby Twp, Michigan in our summary view.
Why does MR. MICHAEL P WATTA (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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