Active NPI 1780670414 Individual Practitioner Male Practitioner

Dr. Robert L. Welch , MD

Orthopaedic Surgery - Hand Surgery • Naperville, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Welch, MD is a certified Orthopaedic Surgery - Hand Surgery practicing in Naperville, IL. With approximately 38 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 1988, Dr. Welch delivers high-quality medical care to the local community at 1259 RICKERT DR STE 101.

Dr. Welch is affiliated with Dupage Medical Group Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, injection into tendon or ligament. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1259 Rickert Dr Ste 101

Naperville, IL 605408904

Telephone 6307901872

Fax 6303553273

Associated Practice Facility / Clinic

🏢 Dupage Medical Group Ltd Facility NPI 1851888549

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Naperville, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +18.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Naperville, IL (135 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Welch (38 Years) 38 Yrs

Naperville Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,349	244	$4.00	$0.97
99213 Established patient office or other outpatient visit, typically 15 minutes	258	172	$157.00	$93.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	203	$229.00	$130.59
20550 Injection into tendon or ligament	148	101	$213.62	$53.66
73110 X-ray of wrist, minimum of 3 views	118	73	$115.00	$42.63
73030 X-ray of shoulder, minimum of 2 views	115	72	$116.00	$36.40
20610 Aspiration and/or injection of fluid from large joint	100	76	$472.94	$70.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$235.00	$114.30
20600 Aspiration and/or injection of fluid from small joint	77	54	$173.12	$53.12
73140 X-ray of finger, minimum of 2 views	71	48	$105.90	$40.72
73130 X-ray of hand, minimum of 3 views	71	52	$99.00	$38.02
20605 Aspiration and/or injection of medium joint or joint capsule	31	26	$211.26	$58.94
64721 Release and/or relocation of hand nerve	26	24	$2025.00	$450.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$359.00	$173.06
26055 Incision of tendon covering	22	18	$2165.00	$291.79
73080 X-ray of elbow, minimum of 3 views	19	15	$102.00	$34.08
36415 Insertion of needle into vein for collection of blood sample	12	12	$20.00	$8.65
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$6916.00	$1531.71
26160 Removal of growth of tendon finger or hand	11	11	$2175.00	$339.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,113	178	$4.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	269	175	$157.00	$92.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	235	200	$229.00	$130.11
20550 Injection into tendon or ligament	120	81	$227.07	$58.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$235.00	$116.76
73030 X-ray of shoulder, minimum of 2 views	94	70	$118.67	$37.83
20610 Aspiration and/or injection of fluid from large joint	80	59	$508.30	$73.76
20600 Aspiration and/or injection of fluid from small joint	66	42	$187.88	$53.34
73130 X-ray of hand, minimum of 3 views	64	44	$103.64	$40.94
73140 X-ray of finger, minimum of 2 views	62	42	$103.00	$39.20
73110 X-ray of wrist, minimum of 3 views	55	34	$117.09	$43.55
73100 X-ray of wrist, 2 views	48	29	$102.08	$36.75
73120 X-ray of hand, 2 views	29	23	$92.69	$36.71
64721 Release and/or relocation of hand nerve	26	22	$2025.00	$445.09
73070 X-ray of elbow, 2 views	25	15	$87.00	$31.08
20605 Aspiration and/or injection of medium joint or joint capsule	19	15	$214.26	$63.39
80053 Blood test, comprehensive group of blood chemicals	18	17	$55.00	$10.35
36415 Insertion of needle into vein for collection of blood sample	18	17	$20.00	$8.40
26160 Removal of growth of tendon finger or hand	17	17	$2175.00	$332.73
23472 Prosthetic repair of shoulder joint, total shoulder	16	15	$6916.00	$1551.75
72040 X-ray of upper spine, 2-3 views	14	14	$120.00	$41.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,009	173	$4.00	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	225	165	$157.00	$95.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	143	129	$229.00	$132.68
20550 Injection into tendon or ligament	114	88	$218.95	$57.18
20610 Aspiration and/or injection of fluid from large joint	81	52	$507.48	$75.39
73030 X-ray of shoulder, minimum of 2 views	75	67	$128.80	$41.89
73100 X-ray of wrist, 2 views	72	35	$100.00	$36.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	64	$94.00	$60.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$235.00	$119.17
20600 Aspiration and/or injection of fluid from small joint	58	38	$197.76	$57.90
73110 X-ray of wrist, minimum of 3 views	45	39	$135.44	$52.32
73140 X-ray of finger, minimum of 2 views	45	37	$114.44	$45.35
73130 X-ray of hand, minimum of 3 views	37	31	$115.05	$46.07
64721 Release and/or relocation of hand nerve	35	32	$2025.00	$403.16
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	29	$43.00	$24.61
J1030 Injection, methylprednisolone acetate, 40 mg	32	18	$13.00	$6.46
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	31	27	$300.00	$74.23
20605 Aspiration and/or injection of medium joint or joint capsule	30	24	$188.80	$51.40
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	30	27	$75.00	$24.74
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$160.00	$75.65
73120 X-ray of hand, 2 views	24	22	$91.00	$36.69
26055 Incision of tendon covering	20	14	$2165.00	$232.28
73070 X-ray of elbow, 2 views	17	15	$87.00	$31.65
80053 Blood test, comprehensive group of blood chemicals	17	16	$55.00	$10.42
36415 Insertion of needle into vein for collection of blood sample	17	15	$20.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	344	160	$13.00	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	235	157	$157.00	$98.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	106	$229.00	$138.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	95	$94.00	$60.58
73030 X-ray of shoulder, minimum of 2 views	98	79	$127.91	$41.03
20550 Injection into tendon or ligament	94	68	$219.06	$57.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	90	26	$4.00	$1.19
20610 Aspiration and/or injection of fluid from large joint	84	61	$552.50	$80.17
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	66	$43.00	$24.55
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	66	61	$300.00	$75.00
20600 Aspiration and/or injection of fluid from small joint	52	35	$193.75	$55.62
73100 X-ray of wrist, 2 views	52	31	$101.92	$37.83
73140 X-ray of finger, minimum of 2 views	44	36	$107.68	$42.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$235.00	$121.89
73110 X-ray of wrist, minimum of 3 views	33	29	$135.91	$52.13
73120 X-ray of hand, 2 views	32	25	$94.50	$38.42
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$160.00	$79.31
64721 Release and/or relocation of hand nerve	27	24	$2025.00	$432.99
73070 X-ray of elbow, 2 views	24	21	$87.00	$31.91
20605 Aspiration and/or injection of medium joint or joint capsule	21	19	$185.43	$56.67
26055 Incision of tendon covering	21	16	$2165.00	$272.20
36415 Insertion of needle into vein for collection of blood sample	19	17	$20.00	$3.00
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$219.00	$108.29
80053 Blood test, comprehensive group of blood chemicals	12	11	$55.00	$10.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	379	183	$13.00	$6.04
99213 Established patient office or other outpatient visit, typically 15 minutes	209	146	$157.00	$80.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	130	$229.00	$116.24
20550 Injection into tendon or ligament	105	82	$223.85	$58.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	82	$94.00	$49.34
20610 Aspiration and/or injection of fluid from large joint	84	65	$515.67	$74.59
73030 X-ray of shoulder, minimum of 2 views	81	65	$117.84	$36.22
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	46	$43.00	$24.97
73120 X-ray of hand, 2 views	49	43	$94.29	$36.73
20600 Aspiration and/or injection of fluid from small joint	46	33	$188.70	$55.73
73100 X-ray of wrist, 2 views	45	27	$108.89	$38.55
73140 X-ray of finger, minimum of 2 views	42	34	$110.36	$40.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$235.00	$116.45
64721 Release and/or relocation of hand nerve	37	30	$2025.00	$455.01
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	21	19	$300.00	$100.00
36415 Insertion of needle into vein for collection of blood sample	21	21	$20.00	$2.98
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$160.00	$82.30
73070 X-ray of elbow, 2 views	16	15	$87.00	$30.78
20605 Aspiration and/or injection of medium joint or joint capsule	16	15	$188.06	$54.22
73110 X-ray of wrist, minimum of 3 views	16	14	$136.56	$49.59
26055 Incision of tendon covering	15	13	$2165.00	$259.70
80048 Blood test, basic group of blood chemicals (calcium, total)	14	14	$44.00	$8.45
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$219.00	$110.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	489	226	$13.00	$6.30
99213 Established patient office or other outpatient visit, typically 15 minutes	285	202	$157.00	$79.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	198	176	$229.00	$114.19
20550 Injection into tendon or ligament	123	87	$213.07	$52.88
20610 Aspiration and/or injection of fluid from large joint	119	86	$512.57	$71.03
73030 X-ray of shoulder, minimum of 2 views	114	89	$117.02	$32.78
73100 X-ray of wrist, 2 views	102	49	$100.00	$34.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$235.00	$115.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	81	$94.00	$48.10
73140 X-ray of finger, minimum of 2 views	83	66	$114.17	$39.99
20600 Aspiration and/or injection of fluid from small joint	67	49	$182.76	$54.15
73120 X-ray of hand, 2 views	44	37	$101.18	$37.49
73110 X-ray of wrist, minimum of 3 views	39	37	$117.95	$40.08
64721 Release and/or relocation of hand nerve	36	33	$2025.00	$450.88
99201 New patient office or other outpatient visit, typically 10 minutes	29	29	$94.00	$49.10
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$219.00	$108.83
73070 X-ray of elbow, 2 views	26	18	$87.00	$28.86
26055 Incision of tendon covering	24	13	$2165.00	$279.02
20605 Aspiration and/or injection of medium joint or joint capsule	24	22	$184.38	$55.16
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$160.00	$81.56
73130 X-ray of hand, minimum of 3 views	17	15	$110.65	$39.81
23472 Prosthetic repair of shoulder joint, total shoulder	15	14	$6916.00	$1631.73
26160 Removal of growth of tendon finger or hand	14	13	$2175.00	$369.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	397	171	$13.00	$6.68
99213 Established patient office or other outpatient visit, typically 15 minutes	230	159	$157.00	$76.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	139	$229.00	$112.08
20550 Injection into tendon or ligament	107	69	$211.89	$49.11
73100 X-ray of wrist, 2 views	89	43	$100.00	$33.29
73030 X-ray of shoulder, minimum of 2 views	88	61	$117.61	$31.70
20610 Aspiration and/or injection of fluid from large joint	82	58	$233.35	$67.75
20600 Aspiration and/or injection of fluid from small joint	77	47	$181.17	$51.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	70	$94.00	$46.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$235.00	$113.89
73140 X-ray of finger, minimum of 2 views	66	46	$104.56	$34.58
73120 X-ray of hand, 2 views	49	33	$84.00	$28.62
64721 Release and/or relocation of hand nerve	34	31	$2025.00	$426.64
73130 X-ray of hand, minimum of 3 views	29	23	$99.00	$33.72
73070 X-ray of elbow, 2 views	27	19	$87.00	$28.82
26055 Incision of tendon covering	24	18	$2165.00	$288.45
20605 Aspiration and/or injection of medium joint or joint capsule	22	15	$193.09	$55.59
99201 New patient office or other outpatient visit, typically 10 minutes	20	20	$94.00	$47.35
73110 X-ray of wrist, minimum of 3 views	20	15	$115.00	$36.99
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$160.00	$79.44
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$219.00	$107.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	407	192	$13.00	$5.74
99213 Established patient office or other outpatient visit, typically 15 minutes	262	173	$157.00	$75.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	120	$229.00	$110.98
73100 X-ray of wrist, 2 views	109	57	$100.00	$29.62
20550 Injection into tendon or ligament	106	77	$211.92	$50.00
73030 X-ray of shoulder, minimum of 2 views	98	75	$115.00	$30.63
20610 Aspiration and/or injection of fluid from large joint	96	69	$232.92	$67.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	83	$94.00	$45.56
73140 X-ray of finger, minimum of 2 views	81	58	$103.00	$32.48
20600 Aspiration and/or injection of fluid from small joint	71	48	$181.20	$50.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$235.00	$112.84
73120 X-ray of hand, 2 views	44	31	$84.00	$27.71
73110 X-ray of wrist, minimum of 3 views	33	25	$115.00	$36.46
26055 Incision of tendon covering	31	20	$2165.00	$267.70
73070 X-ray of elbow, 2 views	29	18	$87.00	$28.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$295.00	$144.25
64721 Release and/or relocation of hand nerve	28	25	$2025.00	$435.15
73130 X-ray of hand, minimum of 3 views	23	16	$99.00	$32.51
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$160.00	$79.10
99201 New patient office or other outpatient visit, typically 10 minutes	21	21	$94.00	$46.60
20605 Aspiration and/or injection of medium joint or joint capsule	20	18	$185.85	$46.93
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	15	13	$70.00	$19.07
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$219.00	$107.61
26160 Removal of growth of tendon finger or hand	14	12	$2175.00	$327.77

Medical Specialties & State Licenses

CMS Verified: 2023-08-29

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License IL 036104876

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IL 036104876

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036104876 (IL)

Commercial Insurance / Payer ID Railroad Medicare

200043354 (IL)

Hospital & Practice Group Affiliations

Dupage Medical Group Ltd

2100 Glenwood Ave, Joliet, IL 604355487

Phone: 8157252121

Dupage Medical Group Ltd

430 Warrenville Rd, Lisle, IL 605321348

Phone: 6304326180

Dupage Medical Group Ltd

30 Stratford Dr, Bloomingdale, IL 601082201

Phone: 6308932210

Dupage Medical Group Ltd

430 Pennsylvania Ave, Glen Ellyn, IL 601374464

Phone: 6304699200

Dupage Medical Group Ltd

1259 Rickert Dr, Naperville, IL 605408904

Phone: 6303551300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Karen Shelton , RSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1003047770

Dr. Ernest Lindell , MD

Orthopaedic Surgery - Pediatric Orthopaedic Surgery

NPI 1003802810

Doctor of Medicine (M.D.)

Dr. Chris Huang , MD

Orthopaedic Surgery

NPI 1013110519

Doctor of Medicine (M.D.)

Marek Myslinski , RSA, CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1023475605

Jannalynne Beilke-Skoug , PA-C

Physician Assistant - Surgical

NPI 1023626769

Physician Assistant (Certified)

Kevin Vermeer , FNP

Nurse Practitioner

NPI 1033839378

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address August 29, 2023

Registered at PO BOX 713260, CHICAGO, IL 606771260 (Tel: 6304692000)

📍

Updated Practice Location January 29, 2021

Registered at 1259 RICKERT DR STE 101, NAPERVILLE, IL 605408904 (Tel: 6307901872)

📍

Updated Business Mailing Address November 06, 2018

Registered at 1860 PAYSPHERE CIR, CHICAGO, IL 606743698 (Tel: 6304692000)

✅

NPI Profile Active March 04, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2008

Registered at 15900 W 127TH ST, SUITE 111, LEMONT, IL 604397461 (Tel: 6302437385)

📍

Updated Business Mailing Address March 04, 2008

Registered at 4300 COMMERCE CT, SUITE 230, LISLE, IL 605323698 (Tel: 6309681881)

👤

Provider Name / Credentials Updated March 04, 2008

Recorded as ROBERT WELCH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2008

Orthopaedic Surgery (License #036104876 in IL)

🟢

Initial NPI Registration & Enumeration September 27, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780670414

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 27, 2005

Last Update: August 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 713260

Chicago, IL 606771260

Phone: 6304692000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.