Active NPI
Paul J West, M.D.
- Urology Physician
- Downers Grove, IL
National Provider Identifier
1073579132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 036042928
- Practice address
- 3825 Highland Ave
Suite 207
Downers Grove, IL 60515-1552 - Phone
- (630) 960-1498
- Fax
- (630) 960-9303
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036042928 | IL | Primary |
Addresses
Primary practice location
3825 Highland Ave
Suite 207
Downers Grove, IL 60515-1552
Mailing address
3825 Highland Ave
Suite 207
Downers Grove, IL 60515-1552
Phone (630) 960-1498
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036042928 | Medicaid | IL | |
| 1616216 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036042928 | IL | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374451200000",
"number": "1073579132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 HIGHLAND AVE",
"address_2": "SUITE 207",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151552",
"telephone_number": "630-960-1498",
"fax_number": "630-960-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 HIGHLAND AVE",
"address_2": "SUITE 207",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151552",
"telephone_number": "630-960-1498",
"fax_number": "630-960-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2013-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036042928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036042928",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1616216",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.