Active NPI
Michael J Welther, MD
- Family Medicine Physician
- Arlington, VT
National Provider Identifier
1164596367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0420007598
- Practice address
- 9 Church Street
Arlington, VT 05250 - Phone
- (802) 375-6566
- Fax
- (802) 375-6828
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0420007598 | VT | Primary |
Addresses
Primary practice location
9 Church Street
Arlington, VT 05250
Mailing address
PO Box 61
Arlington, VT 05250-0061
Phone (802) 430-7254
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000108 | Other | LADIES FIRST | |
| WELT00007333 | Other | VT BLUE CROSS | |
| 020009326 | Other | RAILROAD MEDICARE | |
| 10003016 | Other | CDPHP | |
| WEVT9138 | Medicaid | VT | |
| 414900 | Other | CIGNA | |
| 0473830 | Medicaid | VT | |
| 08286 | Other | MVP | |
| 0009138 | Other | TRICARE | |
| 030310607 | Other | EMPLOYEE BENEFIT | |
| WEVT9138 | Other | GREAT WEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9 Church St
Arlington, VT 05250-4457
Phone (802) 375-6566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420007598 | VT | MD | Family Medicine Physician |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Arlington, VT
- NPI 1033530696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547510400000",
"number": "1164596367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61",
"city": "ARLINGTON",
"state": "VT",
"postal_code": "052500061",
"telephone_number": "802-430-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CHURCH STREET",
"city": "ARLINGTON",
"state": "VT",
"postal_code": "05250",
"telephone_number": "802-375-6566",
"fax_number": "802-375-6828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTHER",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2019-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "0420007598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LADIES FIRST",
"identifier": "8000108",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VT BLUE CROSS",
"identifier": "WELT00007333",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020009326",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10003016",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WEVT9138",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "414900",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0473830",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "08286",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "0009138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE BENEFIT",
"identifier": "030310607",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "WEVT9138",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.