Individual provider Active NPI

Robert M West, D.O.

  • Colon & Rectal Surgery Physician
  • Chesterfield, MO
National Provider Identifier
1801051255
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
34.009978 Issued in OH
Practice address
15510 Olive Blvd
Suite 115
Chesterfield, MO 63017-0170
Phone
(314) 720-0050
Fax
(314) 787-2133
NPI assigned
Jul 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 34.009978 OH Primary
Colon & Rectal Surgery Physician 208C00000X 2014010407 MO

Addresses

Primary practice location

15510 Olive Blvd
Suite 115
Chesterfield, MO 63017-0170

Mailing address

15510 Olive Blvd
Suite 115
Chesterfield, MO 63017-0170
Phone (314) 720-0050

Other identifiers 2

IdentifierTypeStateIssuer
1801051255MedicaidMO
3133273MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140724001480 MO Practitioner - Colorectal Surgery (Proctology) 9739351016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6420 The Cedars CT
Cedar Hill, MO 63016-2222
Phone (314) 720-0050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert West LC Colon & Rectal Surgery CurrentSince Sep 1, 2010 Accepting new patients

Locations

6420 The Cedars Ct
Cedar Hill, MO 63016
Phone (636) 274-2700

15510 Olive Blvd
Ste 115
Chesterfield, MO 63017
Phone (314) 720-0050

23 N Oaks Plz
Ste 274
Saint Louis, MO 63121
Phone (314) 720-0050

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1801051255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 OLIVE BLVD",
            "address_2": "SUITE 115",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170170",
            "telephone_number": "314-720-0050",
            "fax_number": "314-787-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15510 OLIVE BLVD",
            "address_2": "SUITE 115",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170170",
            "telephone_number": "314-720-0050",
            "fax_number": "314-787-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OH",
            "license": "34.009978",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "2014010407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801051255",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.