Individual provider Active NPI

Caleb West

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1649705880
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
155-T2 Issued in WY
Practice address
820 E 17TH St
Cheyenne, WY 82001-4714
Phone
(307) 632-2434
NPI assigned
Apr 25, 2017
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 155-T2 WY Primary

Addresses

Primary practice location

820 E 17TH St
Cheyenne, WY 82001-4714

Mailing address

820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 632-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 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

Enrollment IDStateProvider typePAC IDDetails
I20230906003271 UT Practitioner - Family PracticePractitioner - Sports Medicine 9032536511 Reassigns benefits to 1 organization
I20251006003494 ID Practitioner - Family Practice 9032536511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caribou Medical Center, IncGroup PAC ID 7618365701, 35 clinicians
Sportsmed Associates LLCGroup PAC ID 6204140122, 8 clinicians

Practice addresses (Care Compare)

300 S 3Rd
Soda Springs, ID 83276-1559
Phone 20854733417503

3401 N Ctr St
Suite 210
Lehi, UT 84043-7497
Phone (801) 753-7770

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Associates LLC CurrentSince Aug 1, 2023 Accepting new patients
Caribou Medical Center, Inc CurrentSince Sep 18, 2025 Accepting new patients
Caribou Medical Center, Inc CurrentSince Sep 18, 2025 Accepting new patients
Western University of Health Sciences Past Accepting new patients

Locations

300 S 3rd W
Soda Springs, ID 83276
Phone (208) 547-0700

3943 E Pony Express Pkwy
Ste 210
Eagle Mountain, UT 84005
Phone (801) 789-3030

3401 N Center St
Ste 100
Lehi, UT 84043
Phone (801) 753-7770

3401 N Center St
Ste 210
Lehi, UT 84043
Phone (801) 753-7770

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1649705880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014714",
            "telephone_number": "307-632-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014714",
            "telephone_number": "307-632-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "155-T2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.