Individual provider Active NPI

Michael G. Welch, D.P.M.

  • Podiatrist
  • Galloway, NJ
National Provider Identifier
1912934183
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00178000 Issued in NJ
Practice address
408 Chris Gaupp Dr
Suite 300
Galloway, NJ 08205-4486
Phone
(609) 404-0700
Fax
(609) 404-0712
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 25MD00178000 NJ Primary

Addresses

Primary practice location

408 Chris Gaupp Dr
Suite 300
Galloway, NJ 08205-4486

Mailing address

750 S White Horse Pike
Hammonton, NJ 08037-2000
Phone (609) 567-0606

Other identifiers 3

IdentifierTypeStateIssuer
1912934183OtherNJINDIVIDUAL NPI
0736309MedicaidNJ
7820240001OtherNJDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000190 NJ Practitioner - Podiatry 0244244648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Center of SJGroup PAC ID 7517397136, 6 clinicians

Practice addresses (Care Compare)

327 W White Horse Pike
Egg Harbor City, NJ 08215-3554
Phone (609) 404-0700

Hospital & facility affiliations

  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue40
Removal of nail tissue925
Removal or shaving of skin growth223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00178000NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Heart and Lung Center Current Accepting new patients
Foot & Ankle Center of SJ Podiatrist Current Accepting new patients
Foot & Ankle Center of SJ Podiatrist CurrentSince Apr 1, 2020 Accepting new patients
Jeffrey S Katz DPM PA Podiatrist Past Accepting new patients

Locations

4276 Harbor Beach Blvd
Ste F
Brigantine, NJ 08203

327 W White Horse Pike
Egg Harbor City, NJ 08215
Phone (609) 404-0700

408 Chris Gaupp Dr
Ste 300
Galloway, NJ 08205
Phone (609) 404-0700

750 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 404-0700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/32e03c95-b309-4594-826f-8331ad619414/
  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1912934183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372000",
            "telephone_number": "609-567-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CHRIS GAUPP DR",
            "address_2": "SUITE 300",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054486",
            "telephone_number": "609-404-0700",
            "fax_number": "609-404-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Prof.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-08-09",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00178000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912934183",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0736309",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "7820240001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.