Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLLIN THOMAS WELTEROTH DO
NPI 1700637790
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is Collin Welteroth's NPI number?

The NPI number for Collin Welteroth is 1700637790. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Collin Welteroth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Collin Welteroth was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.

Active since March 28, 2024PECOS Enrolled

416 N 30TH ST, WILMINGTON, NC 28405(910) 833-9175(910) 833-9159 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Collin Thomas Welteroth Do NPPES

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

COLLIN THOMAS WELTEROTH DO (NPI 1700637790) is an individual student in an organized health care education/training program in Wilmington, North Carolina and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700637790

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCOLLIN THOMAS WELTEROTHCredential: DO

Location Address416 N 30TH STWilmington, NC 28405-3158

Mailing Address416 N 30th StWilmington, NC 28405-3158 · (910) 833-9175 · Fax (910) 833-9159

Phone(910) 833-9175

Fax(910) 833-9159

Sole ProprietorNo

Enumeration DateMarch 28, 2024

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1700637790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

416 N 30TH ST, Wilmington, NC 28405

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collin Thomas Welteroth Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

DR. ANDREA ASHLEY KARSTEN MD

Student in an Organized Health Care Education/Training Program