Individual provider Active NPI

Andrew J West, M.D.

  • MOHS-Micrographic Surgery Physician
  • Louisville, KY
National Provider Identifier
1376631580
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
32374 Issued in KY
Practice address
2811 Klempner Way
Louisville, KY 40205-4203
Phone
(502) 896-6355
Fax
(502) 896-9813
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 32374 KY
Dermatopathology Physician 207ND0900X 32374 KY
MOHS-Micrographic Surgery Physician 207ND0101X 32374 KY Primary

Addresses

Primary practice location

2811 Klempner Way
Louisville, KY 40205-4203

Mailing address

PO Box 950266
Louisville, KY 40295-0266
Phone (502) 896-6355

Other identifiers 4

IdentifierTypeStateIssuer
2436690000OtherKYPASSPORT ADVANTAGE
4884OtherKYGROUP MEDICARE
64323744-00MedicaidKY
1110678OtherKYPASSPORT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awest@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040521000061 KY Practitioner - DermatologyPractitioner - Pathology 3274523279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Un of California, Irvine, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates , PSCGroup PAC ID 6901896901, 8 clinicians

Practice addresses (Care Compare)

2811 Klempner Way
Louisville, KY 40205-4203
Phone 5028966355200

Merit-based Incentive Payment System (MIPS)

Final score
83.09 of 100Reported as group
Quality
78.44
Improvement activities
40
Cost
72.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision167
Removal of tissue1-10
Removal of skin lesions21
Removal of skin cancer899
Skin biopsy85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates , PSC Dermatology CurrentSince Aug 15, 1996 Accepting new patients
Clinical Associates, LLC PastSince Apr 1, 2020 Accepting new patients

Locations

2811 Klempner Way
Ste 345
Louisville, KY 40205

2811 Klempner Way
Louisville, KY 40205
Phone (502) 896-6355

Interoperability endpoints

  • Direct secure messaging: awest@directaddress.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1376631580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950266",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950266",
            "telephone_number": "502-896-6355",
            "fax_number": "502-896-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 KLEMPNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402054203",
            "telephone_number": "502-896-6355",
            "fax_number": "502-896-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "32374",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "KY",
            "license": "32374",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KY",
            "license": "32374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2436690000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "4884",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64323744-00",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1110678",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awest@directaddress.net",
            "affiliation": "N",
            "address_1": "2811 KLEMPNER WAY",
            "address_2": "Ste 345",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.