Diana Castanon Westgate, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301088557 Issued in MI

Practice address

535 S Burdick St Ste 256
Kalamazoo, MI 49007-6112

Phone

(269) 290-1901

Fax

(269) 290-1913

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 6

Medicare fee-for-service enrollment

Enrolled in MI, IN2 enrollments

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 2

Specialty

Dermatology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, shared by 26 NPIs, 650 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
• Bronson South Haven Hospital Hospital, South Haven, MI, CCN 230085

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Grand Rapids, MI
  • NPI 1912347923
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Seymour, IN
  • NPI 1659796225
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1235534629
  NPD
• Advantage Health Physicians PC

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1386695252
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

• Bronson Methodist Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1831116441
  Care Compare affiliation
• Bronson South Haven Hospital

  • General Acute Care Hospital
  • South Haven, MI
  • NPI 1346275856
  Care Compare affiliation

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1265648299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S BURDICK ST STE 256",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490076112",
            "telephone_number": "269-290-1901",
            "fax_number": "269-290-1913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2246 N Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465829042",
            "country_code": "US",
            "telephone_number": "574-349-9242",
            "fax_number": "574-349-9243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 N Wabash Ave Ste 360",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IN",
            "postal_code": "469522678",
            "country_code": "US",
            "telephone_number": "765-664-3292",
            "fax_number": "765-662-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 Capital Ave SW Ste 207",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490157123",
            "country_code": "US",
            "telephone_number": "269-234-7096",
            "fax_number": "269-234-7097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Washington Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492012160",
            "country_code": "US",
            "telephone_number": "517-539-3188",
            "fax_number": "517-539-3189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 New Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451737",
            "country_code": "US",
            "telephone_number": "260-423-2567",
            "fax_number": "260-420-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTGATE",
        "first_name": "DIANA",
        "middle_name": "CASTANON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01079479A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301088557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.Westgate@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2246 N Pointe Dr",
            "city": "Warsaw",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465829042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.Westgate@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "330 N Wabash Ave Ste 360",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469522678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.Westgate@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "300 W Washington Ave Ste 250",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492012160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.Westgate@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4020 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.Westgate@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "535 S Burdick St Ste 256",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490076112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Diana.Westgate@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2545 Capital Ave SW Ste 207",
            "city": "Battle Creek",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490157123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dermatology Physician in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.