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KARIM WELAYA M.D.
NPI 1841600491
Internal Medicine - Hematology in Springfield, MO

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3850 S NATIONAL AVE STE 520, SPRINGFIELD, MO 65807(417) 875-3000 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karim Welaya M.d. NPPES

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

KARIM WELAYA M.D. (NPI 1841600491) is an individual hematology provider in Springfield, Missouri, licensed in Missouri (2019035104) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841600491
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameKARIM WELAYACredential: M.D.
Location Address3850 S NATIONAL AVE STE 520Springfield, MO 65807-5230
Mailing Address3850 S National Ave Ste 520Springfield, MO 65807-5230 · (417) 875-3000
Phone(417) 875-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 5, 2014
Last NPPES UpdateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1841600491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in MO · 2019035104
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3850 S NATIONAL AVE STE 520, Springfield, MO 65807
Open in Google Maps ↗

Secondary Practice Locations 2

Location 156 Kamal El Din Salah StreetAlexandria, Alexandria 21200 · Phone 00201005448454
Location 2525 Branson Landing BlvdBranson, MO 65616-2052 · Phone (417) 348-3082

Other Identifiers 1

Medicaid200083785MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karim Welaya M.d. 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 ID1355640053
PECOS Enrollment IDI20200602002954
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.

Areas of Expertise CMS Part B claims 9

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.

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.
398 services240 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
331 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 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.
50 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services17 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
39 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Cox Monett Hospital

Critical Access Hospitals · Monett, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261329
Location1000 E Us Highway 60Monett, MO 65708 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims372 services$4.14 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier19 claims10,299 services$0.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

RAJESH BANDERUDRAPPAGARI MD
Internal Medicine (Hematology & Oncology)
3850 S NATIONAL AVE STE 520
SPRINGFIELD, MO 65807
Greene County (417) 875-3000
LESTER E COX MEDICAL CENTERS
Internal Medicine (Hematology & Oncology)
3850 S NATIONAL AVE STE 520
SPRINGFIELD, MO 65807
Greene County (417) 875-3000

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 Karim Welaya's NPI number?

The NPI number for Karim Welaya is 1841600491. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Karim Welaya located?

Karim Welaya practices at 3850 S National Ave Ste 520, Springfield, MO 65807. The listed phone number is (417) 875-3000.

What is Karim Welaya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Karim Welaya enrolled in Medicare?

Yes. Karim Welaya 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.

Is Karim Welaya affiliated with any hospitals?

According to CMS data, Karim Welaya is affiliated with Cox Medical Centers, Cox Medical Center Branson and Cox Monett Hospital.

When was this NPI record last updated?

The NPPES record for Karim Welaya was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.