Individual provider Active NPI

Jon E Welch, M. D.

  • Allergy Physician
  • Bellevue, WA
National Provider Identifier
1639285034
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD60424819 Issued in WA
Practice address
2320 130TH Ave NE
Ste 220
Bellevue, WA 98005-1718
Phone
(425) 777-7486
NPI assigned
Aug 21, 2006
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD60424819 WA Primary

Addresses

Primary practice location

2320 130TH Ave NE
Ste 220
Bellevue, WA 98005-1718

Mailing address

2320 130TH Ave NE
Ste 220
Bellevue, WA 98005-1718
Phone (425) 777-7486

Other identifiers 1

IdentifierTypeStateIssuer
59-06067MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20140520001175 WA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2062306780 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60424819WAMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Allergy and Immunology CurrentSince Oct 5, 2020 Accepting new patients
Allergy & Asthma Center of SW Washington LLC CurrentSince Oct 10, 2018 Accepting new patients

Locations

1700 116th Ave NE
Bellevue, WA 98004
Phone (206) 520-2200

2320 130th Ave NE
Ste 220
Bellevue, WA 98005
Phone (888) 506-1858

1152 Douglas St
Longview, WA 98632
Phone (360) 423-1113

2501 NE 134th St
Ste 200
Vancouver, WA 98686
Phone (360) 200-5770

Organizations & group practices 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1639285034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 130TH AVE NE",
            "address_2": "STE 220",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051718",
            "telephone_number": "425-777-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 130TH AVE NE",
            "address_2": "STE 220",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051718",
            "telephone_number": "425-777-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "JON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WA",
            "license": "MD60424819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59-06067",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.