Individual provider Active NPI

Derek C. Welch, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
National Provider Identifier
1093753303
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
36584 Issued in TN
Practice address
1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone
(615) 562-9200
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 36584 TN Primary

Addresses

Primary practice location

1010 Airpark Center Dr
Nashville, TN 37217-5200

Mailing address

1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4447

Other practice location 1

5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541
Phone (615) 695-4977

Other identifiers 8

IdentifierTypeStateIssuer
100049937OtherTNPHP TENNCARE
3332763MedicaidTN
37819OtherTNTLC TENNCARE
4128532OtherTNBLUE SHIELD
010355915MedicaidVA
009938109MedicaidAL
198281OtherTNUNISON TENNCARE
64106099MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, VA, NC, AL, MS, AR, GA8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20050817000556 TN Practitioner - Pathology 3678503851 Reassigns benefits to 1 organization
I20070822000070 KY Practitioner - Pathology 3678503851 Reassigns benefits to 1 organization
I20100626000346 VA Practitioner - Pathology 3678503851 Reassigns benefits to 1 organization
I20190621000289 NC Practitioner - Pathology 3678503851 Reassigns benefits to 1 organization
I20210521000525 AL Practitioner - Pathology 3678503851 Reassigns benefits to 1 organization
I20211206000278 MS Practitioner - Pathology 3678503851 Reassigns benefits to 1 organization
I20211208002867 AR Practitioner - Pathology 3678503851 Reassigns benefits to 1 organization
I20220829002576 GA Practitioner - Pathology 3678503851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Rocky Vista University College of Osteopathic Med, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (615) 221-4400

1900 Electric Rd
Salem, VA 24153-7474
Phone (615) 221-4474

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (615) 221-4400

320 W 18TH St
Hopkinsville, KY 42240-1965
Phone (615) 221-4400

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1329

Merit-based Incentive Payment System (MIPS)

Final score
76.55 of 100Reported as group
Quality
72.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pathgroup Labs, LLC Current Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

658 Grassmere Park
Nashville, TN 37211
Phone (866) 941-8398

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1093753303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-221-4447",
            "fax_number": "615-234-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-562-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Virginia Way",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277541",
            "country_code": "US",
            "telephone_number": "615-695-4977",
            "fax_number": "615-263-3348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "DEREK",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "36584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100049937",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3332763",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC TENNCARE",
            "identifier": "37819",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "4128532",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010355915",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938109",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON TENNCARE",
            "identifier": "198281",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64106099",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.