Individual provider Active NPI

Jason Robbins West, M.D.

  • Family Medicine Physician
  • Saraland, AL
National Provider Identifier
1053513135
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29192 Issued in AL
Practice address
1020 Cleveland Rd
Saraland, AL 36571-3536
Phone
(251) 675-4733
Fax
(251) 619-9874
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29192 AL Primary

Addresses

Primary practice location

1020 Cleveland Rd
Saraland, AL 36571-3536

Mailing address

1020 Cleveland Rd
Saraland, AL 36571-3536
Phone (251) 675-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20090116000532 AL Practitioner - Family Practice 8921178658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

1700 Spring Hill Ave
Suite 100
Mobile, AL 36604-1416

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

5 Mobile Infirmary Cir
Suite G805
Mobile, AL 36607-3513
Phone (251) 435-6590

831 C Hillcrest Rd
Mobile, AL 36695-3909
Phone (251) 666-4949

95 Shell Rd
Saraland, AL 36571-2202
Phone (251) 675-4733

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29192ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Diagnostic and Medical Clinic LLC Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Jan 1, 2012 Accepting new patients
Geriatric Specialists LLC Past Accepting new patients

Locations

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

95 Shell St
Saraland, AL 36571
Phone (251) 341-2740

1020 Cleveland Rd
Saraland, AL 36571
Phone (251) 675-4733

Interoperability endpoints

  • Direct secure messaging: jwest16283@directinfirmaryhealth.org

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1053513135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CLEVELAND RD",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713536",
            "telephone_number": "251-675-4733",
            "fax_number": "251-619-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CLEVELAND RD",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713536",
            "telephone_number": "251-675-4733",
            "fax_number": "251-619-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JASON",
        "middle_name": "ROBBINS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "29192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

Verify at the official NPI Registry.