Individual provider Active NPI

Matthew James Welch, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Phoenix, AZ
National Provider Identifier
1316100977
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
44360 Issued in AZ
Practice address
1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone
(602) 242-4928
Fax
(602) 249-4813
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 44360 AZ
Retina Specialist (Ophthalmology) Physician 207WX0107X 44360 AZ Primary

Addresses

Primary practice location

1750 E Glendale Ave
Phoenix, AZ 85020-5505

Mailing address

1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone (602) 242-4928

Other identifiers 1

IdentifierTypeStateIssuer
620971MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110622000034 AZ Practitioner - Ophthalmology 8123206117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone (602) 242-4928

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2011 Accepting new patients
Associated Retina Consultants, LTD. Retina Specialist CurrentSince Feb 10, 2014 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2011 Accepting new patients
Associated Retina Consultants, LTD. Ophthalmology PastSince Feb 10, 2014 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Suburban Retina LTD Ophthalmology PastSince Aug 15, 2011 Accepting new patients
Retina Institute of Illinois PC Ophthalmology Past Accepting new patients

Locations

545 N Peart Rd
Casa Grande, AZ 85122
Phone (520) 316-5590

900 N San Francisco St
Flagstaff, AZ 86001
Phone (928) 779-7000

3509 S Mercy Rd
Ste 101
Gilbert, AZ 85297

3513 S Mercy Rd
Gilbert, AZ 85297
Phone (420) 641-5400

1626 N Litchfield Rd
Ste 50
Goodyear, AZ 85395

1933 S Alma School Rd
Mesa, AZ 85210

302 W Main St
Payson, AZ 85541
Phone (928) 474-4126

15353 N 91st Ave
Peoria, AZ 85381

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

1750 E Glendale Ave
Phoenix, AZ 85020
Phone (602) 216-1144

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1022 Willow Creek Rd
Ste 200
Prescott, AZ 86301
Phone (520) 445-1341

1055 W Iron Springs Rd
Prescott, AZ 86305

2517 N Great Western Dr
Ste K
Prescott Valley, AZ 86314

2820 N Glassford Hill Rd
Prescott Vly, AZ 86314
Phone (928) 771-9000

14500 N Northsight Blvd
Ste 121
Scottsdale, AZ 85260
Phone (602) 216-1141

95 Soldiers Pass Rd
Sedona, AZ 86336
Phone (928) 203-1177

10503 W Thunderbird Blvd
Ste 105
Sun City, AZ 85351
Phone (623) 876-5316

4753 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 269-7547

4753 E Camp Lowell Dr
#O
Tucson, AZ 85712
Phone (520) 881-1400

Interoperability endpoints

  • Direct secure messaging: mwelch24597@direct.valleywisehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1316100977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205505",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205505",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "44360",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "44360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620971",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.