Active NPI
Timothy Patrick Welch, MD
- Pediatric Anesthesiology Physician
- Houston, TX
National Provider Identifier
1467635409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- S2200
- Practice address
- 6651 Main St # McE1940
Houston, TX 77030-2351 - Phone
- (832) 826-5788
- NPI assigned
- Dec 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | S2200 | TX | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | S2200 | TX | |
| Pediatric Anesthesiology Physician | 207LP3000X | S2200 | TX | Primary |
Addresses
Primary practice location
6651 Main St # McE1940
Houston, TX 77030-2351
Mailing address
6651 Main St # McE1940
Houston, TX 77030-2351
Phone (513) 218-7594
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101740126 | Medicaid | MO | |
| ENROLLED | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Texas Children'S Physician Group | Pediatrics | Current | Accepting new patients |
| Washington University | Past | Accepting new patients |
Locations
4400 Clayton Ave
Saint Louis, MO 63110
Phone (314) 432-3600
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Pediatric Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1275970295
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1467635409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6651 MAIN ST # MCE1940",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302351",
"telephone_number": "513-218-7594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6651 MAIN ST # MCE1940",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302351",
"telephone_number": "832-826-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "TIMOTHY",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-13",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "S2200",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "S2200",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "TX",
"license": "S2200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101740126",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.