Individual provider Active NPI

Charles William Westin, M.D.

  • Diagnostic Radiology Physician
  • Coeur d'Alene, ID
National Provider Identifier
1679830707
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M-13820 Issued in ID
Practice address
1839 N Government Way Ste B
Coeur D Alene, ID 83814-3454
Phone
(855) 687-7237
NPI assigned
Apr 13, 2012
Last updated
May 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD60801265 WA
Diagnostic Radiology Physician 2085R0202X M-13820 ID Primary

Addresses

Primary practice location

1839 N Government Way Ste B
Coeur D Alene, ID 83814-3454

Mailing address

550 S. Jackson St., Acb, A3H02
Uofl Medicine Residency Program
Louisville, KY 40202

Other practice location 1

550 S. Jackson st., ACB, A3H02
UofL Medicine Residency Program
Louisville, KY 40202
Phone (502) 852-5241

Other practice location 2

1304 Fawcett Ave Ste 301
Tacoma, WA 98402-1901
Phone (253) 761-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160121002401 IL Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 0648573857

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-13820IDMDDiagnostic Radiology Physician
MD60801265WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tra-Minw P S Past Accepting new patients
Tra-Minw P S Past Accepting new patients
Union Avenue Open MRI LLC Past Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Past Accepting new patients

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1679830707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S. JACKSON ST., ACB, A3H02",
            "address_2": "UOFL MEDICINE RESIDENCY PROGRAM",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 N GOVERNMENT WAY STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143454",
            "telephone_number": "855-687-7237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S. Jackson st., ACB, A3H02",
            "address_2": "UofL Medicine Residency Program",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40202",
            "country_code": "US",
            "telephone_number": "502-852-5241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Fawcett Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984021901",
            "country_code": "US",
            "telephone_number": "253-761-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTIN",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60801265",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-13820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.