Active NPI
Bruce Welkovich, MD
- Emergency Medicine Physician
- Dover, NH
National Provider Identifier
1285605659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10442
- Practice address
- 789 Central Ave
Dover, NH 03820-2526 - Phone
- (603) 742-5252
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 183415 | NY | |
| Emergency Medicine Physician | 207P00000X | 10442 | NH | Primary |
Addresses
Primary practice location
789 Central Ave
Dover, NH 03820-2526
Mailing address
PO Box 1145
Glen, NH 03838-1145
Phone (603) 383-9468
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA98576 | Other | NH | HARVARD PILGRIM NH |
| 0105506Y0NH02 | Other | NH | BCBS THRU SEACOAST ER |
| 30206944 | Medicaid | NH | |
| 432622899 | Medicaid | ME | |
| P00634687 | Other | NH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- 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
- Emergency Medicine
- Education
- New York University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City of Seward
Practice addresses (Care Compare)
417 1St Ave
Seward, AK 99664-0365
Phone (907) 224-5205
Hospital & facility affiliations
- Providence Seward Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93 of 100
- Quality
- 62.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10442 | NH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Seward | Current | Accepting new patients | |
| City of Seward | Emergency Medicine | Current | Accepting new patients |
| City of Seward | Current | Accepting new patients | |
| Alaska Emergency Medicine Associates | Emergency Medicine | Current | Accepting new patients |
| City of Seward | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Past | Accepting new patients | |
| US Dept of HHS | Past | Accepting new patients | |
| U S Health Dept of Health & Human Services | Past | Accepting new patients |
Locations
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Anchorage, AK
- NPI 1568450476
-
- Critical Access Hospital
- Seward, AK
- NPI 1396858155
-
- Medicare Defined Swing Bed Hospital Unit
- Seward, AK
- NPI 1649340217
-
- Home Health Agency
- Seward, AK
- NPI 1912011842
-
- Clinic/Center
- Heart Butte, MT
- NPI 1598867848
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
-
- Clinic/Center
- Lame Deer, MT
- NPI 1053487991
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Seward, AK
- NPI 1396858155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1285605659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1145",
"city": "GLEN",
"state": "NH",
"postal_code": "038381145",
"telephone_number": "603-383-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-742-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELKOVICH",
"first_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "183415",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "10442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM NH",
"identifier": "AA98576",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS THRU SEACOAST ER",
"identifier": "0105506Y0NH02",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30206944",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432622899",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00634687",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.