Individual provider Active NPI

Leann M West, M.D.

  • Pediatrics Physician
  • Minneapolis, MN
National Provider Identifier
1013989128
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
42786 Issued in MN
Practice address
4730 Chicago Ave
Minneapolis, MN 55407-3570
Phone
(612) 313-0000
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 42786 MN Primary

Addresses

Primary practice location

4730 Chicago Ave
Minneapolis, MN 55407-3570

Mailing address

1880 Livingston Avenue
Suite 102
West St. Paul, MN 55118
Phone (651) 552-7999

Other practice location 1

1880 Livingston Avenue
Suite 102
West St. Paul, MN 55118
Phone (651) 552-7999

Other identifiers 1

IdentifierTypeStateIssuer
253683800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411000788 MN Practitioner - Pediatric Medicine 0345287454 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42786MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic Pediatrics CurrentSince May 15, 2023 Accepting new patients
Park Nicollet Clinic Pediatrics Current Accepting new patients
Group Health, Inc. CurrentSince Apr 14, 2023 Accepting new patients
Group Health, Inc. Current Accepting new patients
Park Nicollet Clinic Pediatrics CurrentSince May 15, 2023 Accepting new patients
Mendakota Pediatrics LTD Pediatrics Past Accepting new patients

Locations

4730 Chicago Ave
Minneapolis, MN 55407
Phone (612) 313-0000

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

205 Wabasha St S
Saint Paul, MN 55107
Phone (651) 293-8100

Interoperability endpoints

  • Direct secure messaging: lwest27957@direct.healthpartners.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1013989128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVENUE",
            "address_2": "SUITE 102",
            "city": "WEST ST. PAUL",
            "state": "MN",
            "postal_code": "55118",
            "telephone_number": "651-552-7999",
            "fax_number": "651-552-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073570",
            "telephone_number": "612-313-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1880 Livingston Avenue",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "West St. Paul",
            "state": "MN",
            "postal_code": "55118",
            "country_code": "US",
            "telephone_number": "651-552-7999",
            "fax_number": "651-552-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "LEANN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "42786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253683800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.