Michael Lee Waters, MD

Family Medicine in Macomb, IL. Individual provider (NPI-1).

NPI number1477536993

StatusActive

Last updated in NPPESJul 13, 2026

Details

NPI: 1477536993
Entity type: Individual (NPI-1)
Name: Mr. Michael Lee Waters
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Nov 29, 2005
Last updated: Jul 13, 2026

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	036098370	IL	Yes

Practice location

505 E Grant St
Suite 110
Macomb, IL 61455-3352

Phone 309-833-1733 · Fax 309-836-2369

Mailing address

505 E Grant St
Suite 110
Macomb, IL 61455-3352

Phone 309-833-1733 · Fax 309-836-2369

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Macomb, IL

All 20 Family Medicine Physician providers in Macomb · All 428 providers in Macomb

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