NPIMap

Individual provider Active NPI

Michael Curtis West Jr., MD

  • Family Medicine Physician
  • Idabel, OK
National Provider Identifier
1649346545
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20377 Issued in OK
Practice address
403 S Indian Rd
Idabel, OK 74745-5458
Phone
(580) 286-6688
Fax
(580) 286-6699
NPI assigned
Nov 24, 2006
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20377 OK Primary

Addresses

Primary practice location

403 S Indian Rd
Idabel, OK 74745-5458

Mailing address

2809 NE Lincoln Rd
Idabel, OK 74745-2421
Phone (580) 286-6688

Other practice location 1

1301 E Lincoln Rd
Idabel, OK 74745-7300
Phone (580) 286-7623

Other practice location 2

510 S Park Dr
Broken Bow, OK 74728-5330
Phone (580) 584-3449

Other identifiers 1

IdentifierTypeStateIssuer
100254500AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110906000226 OK Practitioner - General PracticePractitioner - Family PracticePractitioner - Hospitalist 1951398841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of North Dakota School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kiamichi Family Medical Center Inc.Group PAC ID 7315855541, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

510 S Park Dr
Broken Bow, OK 74728-5330
Phone (580) 286-6688

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kiamichi Family Medical Center Inc. Current Accepting new patients
Kiamichi Family Medical Center, Inc CurrentSince Jul 23, 2019 Accepting new patients
Kiamichi Family Medical Center, Inc CurrentSince Jul 23, 2019 Accepting new patients
McCurtain Memorial Medical Management, Inc. Past Accepting new patients
Kiamichi Family Medical Center Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients
Good Honest Medicine Family Medicine PastSince Oct 1, 2000 Accepting new patients
Lane Family Clinic LLC Family Medicine Past Accepting new patients

Locations

510 S Park Dr
Broken Bow, OK 74728
Phone (580) 286-6688

2809 NE Lincoln Rd
Idabel, OK 74745
Phone (580) 286-6688

403 S Indian Rd
Idabel, OK 74745
Phone (580) 286-6688

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Hospice Care of Eastern OklahomaBroken Bow, OK, CCN 371692 Hospice Contracted Managing Employee Mar 23, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1649346545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 NE LINCOLN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747452421",
            "telephone_number": "580-286-6688",
            "fax_number": "580-286-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S INDIAN RD",
            "city": "IDABEL",
            "state": "OK",
            "postal_code": "747455458",
            "telephone_number": "580-286-6688",
            "fax_number": "580-286-6699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 E Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Idabel",
            "state": "OK",
            "postal_code": "747457300",
            "country_code": "US",
            "telephone_number": "580-286-7623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S Park Dr",
            "address_purpose": "LOCATION",
            "city": "Broken Bow",
            "state": "OK",
            "postal_code": "747285330",
            "country_code": "US",
            "telephone_number": "580-584-3449",
            "fax_number": "580-548-3451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "MICHAEL",
        "middle_name": "CURTIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254500A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idabel, OK

Sources for this page

Verify at the official NPI Registry.