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KEIVER T WELCH PA
NPI 1922021401
Physician Assistant - Surgical in Bangor, ME

Active since July 25, 2006PECOS Enrolled
98.44/100
CMS Quality Rating
360 BROADWAY, BANGOR, ME 04401(207) 907-3650(207) 907-3660 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 3, 2022, Sep 13, 2021 (2 updates tracked since 2021).

About Keiver T Welch Pa NPPES

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

KEIVER T WELCH PA (NPI 1922021401) is an individual surgical provider in Bangor, Maine, licensed in Maine (PA-170) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1922021401
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEIVER T WELCHCredential: PA
Location Address360 BROADWAYBangor, ME 04401-3900
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8941 · Fax (207) 777-8800
Phone(207) 907-3650
Fax(207) 907-3660
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1922021401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ME · PA-170
360 BROADWAY, Bangor, ME 04401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1404 State StBangor, ME 04401-6623 · Phone (207) 947-8381 · Fax (207) 947-1897

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keiver T Welch Pa 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.

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.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

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.

JAMES HILDEBRAND M.D.
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1703
THERESA ANNE YOUNG RN
Registered Nurse
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 525-4526
DANE HASSANI MD
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1430
LIGA YUSVIRAZI MD
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3283
ROBERT SPENCER
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1000
DR. PEDRO PABLO GOMEZ VALENCIA M.D.
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3650
DR. ALGIS VYDAS M.D.
Specialist
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 262-1938
DR. GANESHA SANTHYADKA MD
Internal Medicine (Pulmonary Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1155

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 Keiver Welch's NPI number?

The NPI number for Keiver Welch is 1922021401. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Keiver Welch located?

Keiver Welch practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3650.

What is Keiver Welch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Keiver Welch enrolled in Medicare?

Yes. Keiver Welch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keiver Welch was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.