NPIMap

Individual provider Active NPI

Jean Margaret Welsh, MD

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1861592461
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D37002 Issued in MD
Practice address
12162 Tech Rd
Silver Spring, MD 20904-1914
Phone
(301) 681-4860
Fax
(301) 681-4864
NPI assigned
Sep 24, 2006
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D37002 MD Primary

Addresses

Primary practice location

12162 Tech Rd
Silver Spring, MD 20904-1914

Mailing address

12162 Tech Rd
Silver Spring, MD 20904-1914
Phone (301) 681-4860

Other practice location 1

6001 Sligo Mill Rd NE
Washington, DC 20011-1500
Phone (240) 375-4635

Other identifiers 2

IdentifierTypeStateIssuer
293610100MedicaidMD
010794300MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20050826000347 DC Practitioner - Family Practice 3678504909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12162 Tech Rd
Silver Spring, MD 20904-1914
Phone (301) 681-4860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D37002MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary and Alternative Medicine Ctr PA Family Medicine CurrentSince Jun 1, 2005 Accepting new patients
Metro Homes Inc Past Accepting new patients
Wholistic Services, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11161 New Hampshire Ave
Ste 102
Silver Spring, MD 20904
Phone (301) 434-0599

12162 Tech Rd
Silver Spring, MD 20904
Phone (301) 681-4860

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJBHAD/Endpoint/IJBHAD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capital Care IncWashington, DC, CCN 097075 Home health agency Corporate Director Jan 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1861592461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12162 TECH RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041914",
            "telephone_number": "301-681-4860",
            "fax_number": "301-681-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12162 TECH RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041914",
            "telephone_number": "301-681-4860",
            "fax_number": "301-681-4864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Sligo Mill Rd NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200111500",
            "country_code": "US",
            "telephone_number": "240-375-4635",
            "fax_number": "301-681-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELSH",
        "first_name": "JEAN",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D37002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293610100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010794300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.