Individual provider Active NPI

Ann Luise West, MD

  • Obstetrics Physician
  • Sandwich, IL
National Provider Identifier
1801816277
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
036072751 Issued in IL
Practice address
1310 N Main St
Suite 209
Sandwich, IL 60548-1394
Phone
(815) 786-1967
Fax
(815) 786-1806
NPI assigned
Jul 20, 2006
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2722 WI
Obstetrics Physician 207VX0000X 036072751 IL Primary

Addresses

Primary practice location

1310 N Main St
Suite 209
Sandwich, IL 60548-1394

Mailing address

1310 N Main St
Suite 209
Sandwich, IL 60548-1394
Phone (815) 786-1967

Other identifiers 1

IdentifierTypeStateIssuer
036072751MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061020000403 IL Practitioner - Obstetrics/Gynecology 1456357144 Reassigns benefits to 2 organizations
I20230407001426 WI Practitioner - Obstetrics/Gynecology 1456357144 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Wisconsin School of Medicine, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Obhg Wisconsin SCGroup PAC ID 0840551750, 13 clinicians

Practice addresses (Care Compare)

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (864) 908-3530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036072751ILMDObstetrics Physician
2722WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Nov 19, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Nov 19, 2023 Accepting new patients
Madison Medical Affiliates, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Apr 1, 2024 Accepting new patients
Obhg Wisconsin, S.C. Obstetrics & Gynecology CurrentSince Feb 16, 2023 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Oct 1, 2022 Accepting new patients
Anesthesia Associates, LTD PastSince Sep 1, 2006 Accepting new patients

Locations

7423 Solutions Ctr
Chicago, IL 60677

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000

Interoperability endpoints

  • Direct secure messaging: annwest@twhcc.allscriptsdirect.net
  • Direct secure messaging: awest1023374@direct.unitypoint.org
  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1801816277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST",
            "address_2": "SUITE 209",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481394",
            "telephone_number": "815-786-1967",
            "fax_number": "815-786-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N MAIN ST",
            "address_2": "SUITE 209",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481394",
            "telephone_number": "815-786-1967",
            "fax_number": "815-786-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ANN",
        "middle_name": "LUISE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "2722",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036072751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072751",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

Verify at the official NPI Registry.