MR. MICHAEL P WATTA PA-C NPI 1669497319

NPI Information

  • NPI: 1669497319
  • Provider Name: MR. MICHAEL P WATTA, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50505 SCHOENHERR RD
    SUITE 290
    SHELBY TWP, MI
    ZIP 48315
  • Phone: (586) 314-0080

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NPI Details

MR. Michael P Watta, PA-C is a medical physician assistant in Shelby Twp, MI with 34 years of experience. MR. Michael P Watta, PA-C NPI is 1669497319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50505 SCHOENHERR RD
SUITE 290
SHELBY TWP, MI
ZIP 48315-140
Phone: (586) 314-0080
Fax: (877) 673-3562

The NPI 1669497319 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 3/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease5601002148MICHIGANNo
2363AM0700XPhysician AssistantMedical002148MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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