Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Thomas M Watanabe

Individual provider Emergency Medicine Physician · NPI 1629284872

Thomas M Watanabe practises Emergency Medicine in Clarksville, Tennessee. Graduated from Rush Medical College of Rush University in 2003, 23 years ago. Practices with Irv Edwards MD PC, a 33-clinician group and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
23
Trained at
Rush Medical College of Rush University
Licensed in
IL, TN
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

651 Dunlop Ln
Clarksville, TN 37040-5015 Not confirmed with CMS for 15 years — call before visiting
Phone: (931) 502-1370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 44158 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036116691 (IL)

Record details

NPI number1629284872
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 22, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Irv Edwards Md Pc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients248
Services billed 320 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Irv Edwards MD PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 33 clinicians in the practice; 12 are shown here.

Other providers in Clarksville