Active NPI
Ilana Doris-Ruth West, M.D.
- Surgery Physician
- Phoenix, AZ
National Provider Identifier
1861498487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 33656
- Practice address
- 16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356 - Phone
- (602) 996-4747
- Fax
- (602) 953-5466
- NPI assigned
- Jun 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33656 | AZ | Primary |
Addresses
Primary practice location
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Mailing address
16601 N 40TH St Ste 204
Phoenix, AZ 85032-3356
Phone (602) 996-4747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0770430 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 915902 | Medicaid | AZ |
Other names 1
- Ilana Robbins
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33656 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General and Vascular Surgeons PC | Surgery | Past | Accepting new patients |
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.
-
- Surgery Physician
- Phoenix, AZ
- NPI 1386754729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1861498487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-996-4747",
"fax_number": "602-953-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16601 N 40TH ST STE 204",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850323356",
"telephone_number": "602-996-4747",
"fax_number": "602-953-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "ILANA",
"middle_name": "DORIS-RUTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "33656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0770430",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "915902",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ILANA",
"last_name": "ROBBINS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.