Individual provider Active NPI

Anna S West, M.D.

  • Pediatrics Physician
  • Park Ridge, IL
National Provider Identifier
1689801185
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036130632 Issued in IL
Practice address
101 S Washington Ave Ste 122
Park Ridge, IL 60068-4258
Phone
(847) 692-6628
Fax
(847) 692-6891
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036130632 IL Primary

Addresses

Primary practice location

101 S Washington Ave Ste 122
Park Ridge, IL 60068-4258

Mailing address

101 S Washington Ave Ste 122
Park Ridge, IL 60068-4258
Phone (847) 692-6628

Other names 1

  • Dr. Anna Paula Sienkiewicz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036130632ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Park Ridge Pediatrics PC Pediatrics PastSince Jun 18, 2023 Accepting new patients
Comprehensive Pediatric Care Pediatrics PastSince Oct 22, 2023 Accepting new patients

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1689801185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON AVE STE 122",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684258",
            "telephone_number": "847-692-6628",
            "fax_number": "847-692-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON AVE STE 122",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684258",
            "telephone_number": "847-692-6628",
            "fax_number": "847-692-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANNA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036130632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "SIENKIEWICZ",
            "middle_name": "PAULA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.