Individual provider Active NPI

Keith B Welker, M.D.

  • Specialist
  • Butler, PA
National Provider Identifier
1306832068
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD043242L Issued in PA
Practice address
901 E Brady St
Butler, PA 16001-4648
Phone
(724) 282-1737
Fax
(724) 282-2288
NPI assigned
Sep 27, 2005
Reactivated
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD043242L PA Primary

Addresses

Primary practice location

901 E Brady St
Butler, PA 16001-4648

Mailing address

901 E Brady St
Butler, PA 16001-4648
Phone (724) 282-1737

Other identifiers 1

IdentifierTypeStateIssuer
0012402710001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001346 PA Practitioner - Otolaryngology 2769494806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Pennsylvania State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Associates of Butler, LTDGroup PAC ID 7517904543, 4 clinicians
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

104 Technology Dr
Suite 102
Butler, PA 16001-1801
Phone (724) 782-0028

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043242LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Associates of Butler, LTD Specialist CurrentSince Apr 10, 1991 Accepting new patients

Locations

901 E Brady St
Butler, PA 16001
Phone (724) 282-1737

104 Technology Dr
Ste 102
Butler, PA 16001
Phone (724) 482-0028

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1306832068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-282-1737",
            "fax_number": "724-282-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BRADY ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014648",
            "telephone_number": "724-282-1737",
            "fax_number": "724-282-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELKER",
        "first_name": "KEITH",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-07-14",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD043242L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012402710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.