Individual provider Active NPI

Craig William Weltge, M.D.

  • Anesthesiology Physician
  • Richardson, TX
National Provider Identifier
1538146089
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K4606 Issued in TX
Practice address
2100 Lakeside Blvd
Ste 250
Richardson, TX 75082-4351
Phone
(972) 422-5941
Fax
(972) 881-4390
NPI assigned
Dec 27, 2005
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K4606 TX Primary

Addresses

Primary practice location

2100 Lakeside Blvd
Ste 250
Richardson, TX 75082-4351

Mailing address

2100 Lakeside Blvd
Ste 250
Richardson, TX 75082-4351
Phone (972) 422-5941

Other identifiers 3

IdentifierTypeStateIssuer
101841802MedicaidTX
101841803MedicaidTX
050064760OtherRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100819000283 TX Practitioner - Anesthesiology 1658405121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Ohio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners of Dallas PLLCGroup PAC ID 7810293438, 21 clinicians

Practice addresses (Care Compare)

14850 Quorum Dr
Suite 400
Dallas, TX 75254-1445
Phone (469) 437-3564

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners of Dallas PLLC Anesthesiology CurrentSince Apr 1, 2016 Accepting new patients

Locations

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

2100 Lakeside Blvd
Ste 250
Richardson, TX 75082
Phone (469) 998-7443

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

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

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1538146089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 LAKESIDE BLVD",
            "address_2": "STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824351",
            "telephone_number": "972-422-5941",
            "fax_number": "972-881-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 LAKESIDE BLVD",
            "address_2": "STE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824351",
            "telephone_number": "972-422-5941",
            "fax_number": "972-881-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTGE",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K4606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101841802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101841803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "050064760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.