Active NPI
Michael Jude Welsch, MD
- Dermatology Physician
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036110217
- Practice address
- 820 Springer Dr
Lombard, IL 60148-6413 - Phone
- (815) 744-8554
- NPI assigned
- Feb 23, 2006
- Last updated
- Apr 3, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 39686 | KY | |
| Dermatology Physician | 207N00000X | 01055117A | IN | |
| Dermatology Physician | 207N00000X | 39928 | TN | |
| Dermatology Physician | 207N00000X | 036110217 | IL | Primary |
Addresses
Primary practice location
820 Springer Dr
Lombard, IL 60148-6413
Mailing address
820 Springer Dr
Lombard, IL 60148-6413
Phone (815) 744-8554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IL, MI, IN, VA, WV, NC, DC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6605 Nancy Ridge Dr
San Diego, CA 92121-2253
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.8 of 100
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110217 | IL | MD | Dermatology Physician |
| 01055117A | IN | MD | Dermatology Physician |
| 39686 | KY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soderstrom Dermatology Center S C | Current | Accepting new patients | |
| Audrey Bruell, M.D. P.C. | Dermatology | Current | Accepting new patients |
| Skin Surgery Center PA | Dermatology | Current | Accepting new patients |
| Dermatology and Plastic Surgery Associates, S.C. | Current | Accepting new patients | |
| Soderstrom Dermatology Center S C | Dermatology | Current | Accepting new patients |
| Skin Surgery Center PA | Current | Accepting new patients | |
| Robert M Soderstrom MD PC | Dermatology | Past | Accepting new patients |
| Academic Dermatology,PC | Past | Accepting new patients | |
| West Kentucky Dermatology, PSC | Dermatology | Past | Accepting new patients |
| West Kentucky Dermatology, PSC | Dermatology | Past | Accepting new patients |
Locations
1124 Essington Rd
Ste A
Joliet, IL 60435
2100 Jacobssen Dr
Normal, IL 61761
Phone (309) 268-9980
4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546
3501 Enterprise Ave
Valparaiso, IN 46383
37605 Pembroke Ave
Livonia, MI 48152
Phone (734) 591-7931
10512 Park Rd
Ste 113
Charlotte, NC 28210
Phone (704) 289-9448
701 E Roosevelt Blvd
Ste 200A
Monroe, NC 28112
Phone (704) 282-8276
1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434
Interoperability endpoints
- mwelsch@directaddress.net
Organizations & group practices 12
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.
-
- Dermatology Physician
- Peoria, IL
- NPI 1710931670
-
- Dermatology Physician
- Winston Salem, NC
- NPI 1649237082
-
- Procedural Dermatology Physician
- Joliet, IL
- NPI 1700987328
-
dba Peoria Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1053362343
-
- Dermatology Physician
- Livonia, MI
- NPI 1306965983
-
dba The Skin Surgery Center of Charleston
- MOHS-Micrographic Surgery Physician
- Mount Pleasant, SC
- NPI 1851810279
-
- Specialist
- Edina, MN
- NPI 1164662730
-
- Dermatology Physician
- Flint, MI
- NPI 1043484421
-
- Dermatology Physician
- Madisonville, KY
- NPI 1275580888
-
- Dermatology Physician
- Owensboro, KY
- NPI 1649495623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1932175767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 SPRINGER DR",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486413",
"telephone_number": "815-744-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SPRINGER DR",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486413",
"telephone_number": "815-744-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSCH",
"first_name": "MICHAEL",
"middle_name": "JUDE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "39686",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01055117A",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "39928",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036110217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.