Individual provider Active NPI

Kelly William Welsh, D.O.

  • Emergency Medicine Physician
  • Pontiac, MI
National Provider Identifier
1558590638
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101018429 Issued in MI
Practice address
50 N Perry St
Pontiac, MI 48342-2217
Phone
(248) 338-5392
Fax
(248) 338-5567
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101018429 MI Primary
Emergency Medicine Physician 207P00000X 4487 TN
Emergency Medicine Physician 207P00000X OS18133 FL

Addresses

Primary practice location

50 N Perry St
Pontiac, MI 48342-2217

Mailing address

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, TN, FL, MD, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20110311000608 MI Practitioner - Emergency Medicine 4789866757 Reassigns benefits to 2 organizations
I20170605001208 OH Practitioner - Emergency Medicine 4789866757 Reassigns benefits to 1 organization
I20210712003979 TN Practitioner - Emergency Medicine 4789866757 Reassigns benefits to 3 organizations
I20210915003049 FL Practitioner - Emergency Medicine 4789866757 Reassigns benefits to 1 organization
I20240301000022 MD Practitioner - Internal Medicine 4789866757 Reassigns benefits to 1 organization
I20260417001601 TX Practitioner - Emergency Medicine 4789866757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Dawn LN
Waverly, OH 45690-9138
Phone (740) 947-2186

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS18133FLMDEmergency Medicine Physician
4487TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carr PLLC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Em Alliance LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jul 2, 2021 Accepting new patients
Hospitalist Medicine Physicians of Maryland-Frederick PC Emergency Medicine CurrentSince Jan 6, 2024 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Ascension Borgess Hospital CurrentSince Jan 1, 2019 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Hospital CurrentSince Jan 1, 2019 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Jan 17, 2017 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp Emergency Medicine CurrentSince Nov 3, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Kalamazoo Acute Care Specialists PLC Past Accepting new patients

Locations

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

7 Easton Oval
#L4387
Columbus, OH 43219

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1558590638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5392",
            "fax_number": "248-338-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5392",
            "fax_number": "248-338-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "KELLY",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101018429",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "4487",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS18133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.