Individual provider Active NPI

Shelly Lorraine West, MD

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1760680698
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200001025 Issued in NC
Practice address
4600 Capital Blvd
Raleigh, NC 27604-4478
Phone
(919) 980-7008
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200001025 NC Primary

Addresses

Primary practice location

4600 Capital Blvd
Raleigh, NC 27604-4478

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

Other practice location 1

301 Hospital Rd
Zebulon, NC 27597-2542
Phone (919) 269-0390

Other identifiers 1

IdentifierTypeStateIssuer
P00255758OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041209001074 NC Practitioner - Internal Medicine 9436116530 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200001025NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Internal Medicine CurrentSince Oct 24, 2022 Accepting new patients
Duke University Affliated Physicians CurrentSince Feb 5, 2013 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Feb 5, 2013 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine Current Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Oct 24, 2022 Accepting new patients
Bladen Medical Associates Internal Medicine Past Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

162 Legacy Oaks Dr
Ste 102
Knightdale, NC 27545
Phone (919) 232-5205

4600 Capital Blvd
Raleigh, NC 27604
Phone (919) 336-4528

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

301 Hospital Rd
Zebulon, NC 27597
Phone (919) 269-0390

Organizations & group practices 6

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1760680698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044478",
            "telephone_number": "919-980-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "NC",
            "postal_code": "275972542",
            "country_code": "US",
            "telephone_number": "919-269-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEST",
        "first_name": "SHELLY",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200001025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00255758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.