Individual provider Active NPI

Kevin Michael Welch, DPM

  • Foot Surgery Podiatrist
  • Williamsport, PA
National Provider Identifier
1982709580
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC003430L Issued in PA
Practice address
1201 Grampian Blvd Ste 2F
Williamsport, PA 17701-1965
Phone
(703) 212-0205
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003430L PA
Foot Surgery Podiatrist 213ES0131X SC003430L PA Primary

Addresses

Primary practice location

1201 Grampian Blvd Ste 2F
Williamsport, PA 17701-1965

Mailing address

966 Carpenter Rd
Milton, PA 17847-7527
Phone (570) 742-9636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwelch265866@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111208000541 PA Practitioner - Podiatry 8224135918 Reassigns benefits to 1 organization
Practice locations: Bloomsburg, PA; Milton, PA; Montoursville, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

1201 Grampian Blvd
Suite 2F
Williamsport, PA 17701-1965
Phone (570) 321-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue167
Removal of skin lesions1-10
Removal of nail tissue1924
Removal or shaving of skin growth819
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003430LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince May 1, 2023 Accepting new patients
Susquehanna Physician Services CurrentSince May 1, 2023 Accepting new patients
Susquehanna Physician Services Past Accepting new patients
Daniels & Welch Podiatrist PastSince Jul 31, 1992 Accepting new patients
Kevin M. Welch Podiatrist PastSince Oct 6, 2014 Accepting new patients

Locations

215 E Water St
Muncy, PA 17756
Phone (570) 327-8137

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

1201 Grampian Blvd
Ste 2F
Williamsport, PA 17701
Phone (570) 320-7598

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Interoperability endpoints

  • Direct secure messaging: kwelch265866@upmc.direct-ci.com

Organizations & group practices 5

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 7

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1982709580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 CARPENTER RD",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178477527",
            "telephone_number": "570-742-9636",
            "fax_number": "570-742-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD STE 2F",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011965",
            "telephone_number": "703-212-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-09-03",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003430L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC003430L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwelch265866@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.