Doctor profile · Federal record
Dr. Kenneth Watson
Medical Physician Assistant (CMS: Physician Assistant) · Physical Therapy Assistant · Physician Assistant · Philadelphia, PA
- NPI 1699090993
- Accepts Medicare
- MIPS 72.5 / 100 · 2023
- 10 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3401 N Broad St
Philadelphia, PA 191405103
(215) 707-3133
fax (215) 707-3945 - Additional location
-
15032 Poquessing Creek Ln
Philadelphia, PA 191161531
(267) 446-6521 - Mailing address
-
15032 Poquessing Creek Ln
Philadelphia, PA 191161531
Credentials & registration
- NPI registered
- March 2010 — 16 yrs on file
- Profile last updated
- March 14, 2022
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State licenses (3)
- Pennsylvania #MA060559 · Pennsylvania #TEI002569 · New Jersey #25MP00409400
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699090993. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Smith+Nephew, INC. | 1 | $17.19 |
By nature of payment
Frequently asked questions
What is Dr. Kenneth Watson's medical specialty?
Dr. Kenneth Watson practices Medical Physician Assistant in Philadelphia, PA.
Where does Dr. Kenneth Watson practice?
Dr. Kenneth Watson practices at 3401 N Broad St, Philadelphia, PA 191405103. Office phone: 2157073133.
What is Dr. Kenneth Watson's NPI?
Dr. Kenneth Watson's National Provider Identifier (NPI) is 1699090993, issued by NPPES.
Does Dr. Kenneth Watson accept Medicare assignment?
Yes. Dr. Kenneth Watson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.