Blake John Welschmeyer, D.O.
Individual provider Active NPI Internal Medicine Physician · Columbia, MO
NPI 1154771178 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1154771178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2019024289 (MO)
- Practice address
- 1205 W Broadway
Columbia, MO 65203-2125 - Phone
- (573) 499-0642
- Fax
- (573) 449-1787
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Macon County Samaritan Hospital
Nephrology and Hypertension Associates
Practice addresses (Care Compare)
1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700
1205 W Broadway
Columbia, MO 65203-2125
Phone (573) 499-0642
Hospital & facility affiliations
- Macon County Samaritan Memorial Hospital
- Macon County Samaritan Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190808003775 | MO | Practitioner - Nephrology |
8224320106 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macon County Samaritan Hospital | Current |
Accepting new patients | |
| Midwest Hospitalist Physicians LLP | Hospitalist | Current |
Accepting new patients |
| Nephrology and Hypertension Associates | Nephrology | Current |
Accepting new patients |
| Boone Physician Services, LLC | Current |
Accepting new patients |
Locations
1205 W Broadway
Columbia, MO 65203
Phone 57349906427111
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151
1511 Union Ave
Moberly, MO 65270
Phone (660) 236-1611
1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400
Interoperability endpoints
- blakewelschmeyer@mhccaremail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2019024289 | MO | |
| Internal Medicine Physician | 207R00000X | 2019024289 | MO | Yes |
| Hospitalist Physician | 208M00000X | 2019024289 | MO |
Addresses
Primary practice location
1205 W Broadway
Columbia, MO 65203-2125
Mailing address
1205 W Broadway
Columbia, MO 65203-2125
Phone (573) 499-0642
Other practice location 1
1600 East Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019024289 | Medicaid | MO |
Other providers in Columbia, MO
- Madison Lane Wellen
- Paige Wellendorf
- Elizabeth Wells
- Jack Cody Wells Jr.
- Sarah Wells
- Joanie Nicole Welsh
- Stephen W. Welsh
- Faith Wemhoff
- Fang Wen
- Alexander Wendling
All providers in Columbia, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.