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SARAH KAY WELCH DO
NPI 1053758557
Family Medicine in La Grange, IL

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525(708) 245-8900(708) 245-5604 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2021, Dec 13, 2018 (2 updates tracked since 2018).

About Sarah Kay Welch Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH KAY WELCH DO (NPI 1053758557) is an individual family medicine provider in La Grange, Illinois, licensed in Illinois (036139439) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1053758557
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSARAH KAY WELCHCredential: DO
Location Address1325 COMMUNITY MEMORIAL DRLa Grange, IL 60525-2659
Mailing Address1325 Community Memorial DrLa Grange, IL 60525-2659 · (708) 245-8900 · Fax (708) 245-5604
Phone(708) 245-8900
Fax(708) 245-5604
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateMay 24, 2013
Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1053758557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036139439
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1325 COMMUNITY MEMORIAL DR, La Grange, IL 60525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Kay Welch Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264658699
PECOS Enrollment IDI20160808000055
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Kay Welch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adventist Midwest Health
0.1 mi
Family Medicine
1325 COMMUNITY MEMORIAL DR
La Grange, IL 60525
  • Reassigned Medicare billing, Illinois enrollment
  • 32 clinicians in this Medicare group
NPI 1912353822 (708) 245-8900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
199 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services23 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
23 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEO KOENIG MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
GUIA STEPHANIE ALCALA PASCUAL DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
AISHAT CAROLYN OIYZA AUDU MD
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DANIELLE MARIE GODUTO DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8948
ANERI NITISH SHAH DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DR. DAPHNE TESSALEE MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
KATARZYNA HELENA ROGALA MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DR. KRISTINA NICOLE STEPANOVIC DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (087) 245-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Kay Welch's NPI number?

The NPI number for Sarah Kay Welch is 1053758557. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Sarah Kay Welch located?

Sarah Kay Welch practices at 1325 Community Memorial Dr, La Grange, IL 60525. The listed phone number is (708) 245-8900.

What is Sarah Kay Welch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sarah Kay Welch enrolled in Medicare?

Yes. Sarah Kay Welch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sarah Kay Welch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Kay Welch reassigns Medicare benefits to Adventist Midwest Health (La Grange, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Kay Welch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Kay Welch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sarah Kay Welch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sarah Kay Welch affiliated with any hospitals?

According to CMS data, Sarah Kay Welch is affiliated with Adventist La Grange Memorial Hospital and Adventist Hinsdale Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Kay Welch was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.