NPIMap

Individual provider Active NPI

Arthur S Welch, P.A.

  • Surgical Physician Assistant
  • New London, CT
National Provider Identifier
1558319194
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
001123 Issued in CT
Practice address
50 Fair Harbour PL
Suite 2-a
New London, CT 06320-4731
Phone
(860) 442-0564
Fax
(860) 439-0808
NPI assigned
May 5, 2006
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 001123 CT Primary

Addresses

Primary practice location

50 Fair Harbour PL
Suite 2-a
New London, CT 06320-4731

Mailing address

50 Fair Harbour PL
Suite 2-a
New London, CT 06320-4731
Phone (860) 442-0564

Other identifiers 2

IdentifierTypeStateIssuer
D400055103OtherCTMEDICARE
1558319194MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000256 CT Practitioner - Physician Assistant 0840257713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

194 Howard St
New London, CT 06320-5544
Phone (860) 442-0564

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001123CTMDOptician
1123CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Sep 21, 2018 Accepting new patients
Yale University CurrentSince Sep 21, 2018 Accepting new patients
Associated Specialists of Southeastern Connecticut, Inc. Past Accepting new patients
Sound Medical Associates, PC Past Accepting new patients
Conncare Inc Past Accepting new patients

Locations

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

40 Boston Post Rd
Waterford, CT 06385
Phone (860) 271-4900

Interoperability endpoints

  • Direct secure messaging: awelch329537@direct.ynhh.org

Organizations & group practices 5

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 5

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1558319194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FAIR HARBOUR PL",
            "address_2": "SUITE 2-A",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204731",
            "telephone_number": "860-442-0564",
            "fax_number": "860-439-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FAIR HARBOUR PL",
            "address_2": "SUITE 2-A",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204731",
            "telephone_number": "860-442-0564",
            "fax_number": "860-439-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "ARTHUR",
        "middle_name": "S",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D400055103",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558319194",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.