Individual provider Active NPI

Jeremy West, M.D.

  • Urology Physician
  • Denison, TX
National Provider Identifier
1386023232
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
T1256 Issued in TX
Practice address
5012 S US Highway 75 Ste 275
Denison, TX 75020-4632
Phone
(903) 416-6350
Fax
(903) 416-6360
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X T1256 TX Primary

Addresses

Primary practice location

5012 S US Highway 75 Ste 275
Denison, TX 75020-4632

Mailing address

5012 S US Highway 75 Ste 300
Denison, TX 75020-4589
Phone (903) 416-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210728000182 TX Practitioner - Urology 2466765573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Utah School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Dallas Urology AssociatesGroup PAC ID 5395710933, 12 clinicians

Practice addresses (Care Compare)

4501 Medical Ctr Dr
Suite 100
McKinney, TX 75069-6942
Phone (972) 548-8195

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1256TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Dallas Urology Associates Urology CurrentSince Jun 1, 2023 Accepting new patients
Texomacare PastSince Aug 16, 2021 Accepting new patients

Locations

4701 Medical Center Dr
Ste 1A
McKinney, TX 75069
Phone (214) 733-8001

4501 Medical Center Dr
Ste 100
McKinney, TX 75069
Phone (972) 548-8195

5300 W Plano Pkwy
Ste 200
Plano, TX 75093
Phone (972) 612-8037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIFHAA

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 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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1386023232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6350",
            "fax_number": "903-416-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 275",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204632",
            "telephone_number": "903-416-6350",
            "fax_number": "903-416-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JEREMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "T1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.