Individual provider Active NPI

Tracia West, M.D.

  • Obstetrics & Gynecology Physician
  • Liberty, MO
National Provider Identifier
1306251467
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2018023522 Issued in MO
Practice address
2529 Glenn Hendren Dr Ste 200
Liberty, MO 64068
Phone
(816) 781-7820
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2018023522 MO Primary

Addresses

Primary practice location

2529 Glenn Hendren Dr Ste 200
Liberty, MO 64068

Mailing address

2529 Glenn Hendren Dr Ste 200
Liberty, MO 64068-9606

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tracia.west@mo005.digichart.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180725003249 MO Practitioner - Obstetrics/Gynecology 0345532875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Obstetrics and Gynecology, Inc.Group PAC ID 7012986730, 10 clinicians

Practice addresses (Care Compare)

2529 Glenn Hendren Dr
Suite 200
Liberty, MO 64068-9606
Phone (816) 781-7820

Hospital & facility affiliations

  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018023522MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Obstetrics & Gynecology, Inc. CurrentSince Feb 2, 2024 Accepting new patients
New Liberty Hospital Corporation Past Accepting new patients

Locations

2529 Glenn Hendren Dr
Ste 200
Liberty, MO 64068
Phone (816) 781-7820

2529 Glenn Hendren Dr
Ste 200E
Liberty, MO 64068

2529 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7820

Interoperability endpoints

  • Direct secure messaging: tracia.west@mo005.digichart.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1306251467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR STE 200",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR STE 200",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-781-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "TRACIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2018023522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tracia.west@mo005.digichart.direct-ci.com",
            "affiliation": "N",
            "address_1": "2529 Glenn Hendren Dr Ste 200",
            "city": "Liberty",
            "state": "MO",
            "country_code": "US",
            "postal_code": "64068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.