Active NPI
Michael G. Welch, D.P.M.
- Podiatrist
- Galloway, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00178000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912934183 | Other | NJ | INDIVIDUAL NPI |
| 0736309 | Medicaid | NJ | |
| 7820240001 | Other | NJ | DMERC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 SJ
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 40 |
| Removal of nail tissue | 925 |
| Removal or shaving of skin growth | 223 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00178000 | NJ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New 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 | Current | 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
- https://fhir-myrecord.cerner.com/r4/32e03c95-b309-4594-826f-8331ad619414/
- 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.
-
- General Acute Care Hospital
- Browns Mills, NJ
- NPI 1467440743
-
- Podiatrist
- Galloway, NJ
- NPI 1942834973
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.