Individual provider Active NPI

Charles Victor Welden IV, MD

  • Internal Medicine Physician
  • Charleston, SC
National Provider Identifier
1578950705
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52593 Issued in SC
Practice address
114 Doughty St Ste 249
Charleston, SC 29425-1900
Phone
(843) 792-2301
Fax
(843) 876-7232
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 52593 SC Primary

Addresses

Primary practice location

114 Doughty St Ste 249
Charleston, SC 29425-1900

Mailing address

1445 Lettered Olive LN
Mount Pleasant, SC 29464-5716
Phone (205) 427-4558

Other identifiers 1

IdentifierTypeStateIssuer
52593OtherSCMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210414001660 AL Practitioner - Gastroenterology 2860713773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Alabama School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of North-Central Alabama IncGroup PAC ID 3072591478, 94 clinicians

Practice addresses (Care Compare)

100 Pilot Medical Dr
Suite 250
Birmingham, AL 35235-3448
Phone (205) 838-3034

3570 Grandview Pkwy
Suite 200
Birmingham, AL 35243-2066
Phone (205) 663-1023

513 Brookwood Blvd
Suite 401
Birmingham, AL 35209-6883
Phone (205) 870-0256

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130
  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
61.85
Promoting interoperability
97
Improvement activities
40
Cost
79.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy185
Upper gastrointestinal (GI) endoscopy for acid reflux241

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Apr 9, 2021 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Apr 9, 2021 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

100 Pilot Medical Dr
Ste 250
Birmingham, AL 35235
Phone (205) 838-3034

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

Interoperability endpoints

  • Direct secure messaging: charles.welden@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1578950705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 LETTERED OLIVE LN",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645716",
            "telephone_number": "205-427-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 DOUGHTY ST STE 249",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294251900",
            "telephone_number": "843-792-2301",
            "fax_number": "843-876-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDEN",
        "first_name": "CHARLES",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "52593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "52593",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.