Individual provider Active NPI

Kortney West, MD

  • Pediatrics Physician
  • Wyomissing, PA
National Provider Identifier
1770840563
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD466232 Issued in PA
Practice address
4 Park PLZ
Wyomissing, PA 19610-1398
Phone
(610) 546-2336
Fax
(484) 328-6589
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 MD466232 PA Primary

Addresses

Primary practice location

4 Park PLZ
Wyomissing, PA 19610-1398

Mailing address

1500 Old Mill Rd
Wyomissing, PA 19610-2837
Phone (610) 546-2336

Other identifiers 1

IdentifierTypeStateIssuer
MD466232OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240229002751 PA Practitioner - Pediatric Medicine 0941518617 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona CurrentSince Jan 1, 2024 Accepting new patients
Clear Water Health, PC Pediatrics CurrentSince Jan 2, 2022 Accepting new patients
Upmc Altoona CurrentSince Jan 1, 2024 Accepting new patients
Quadrant PA Virtual Care PC Pediatrics PastSince Apr 1, 2022 Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

4 Park Plz
Wyomissing, PA 19610
Phone (610) 376-0901

Interoperability endpoints

  • Direct secure messaging: kwest@readingpediatrics.opdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1770840563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OLD MILL RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102837",
            "telephone_number": "610-546-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK PLZ",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101398",
            "telephone_number": "610-546-2336",
            "fax_number": "484-328-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "KORTNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD466232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD466232",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.