Individual provider Active NPI

Cameron West, MD

  • Dermatology Physician
  • Wichita, KS
National Provider Identifier
1952539421
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
04-38930 Issued in KS
Practice address
1861 N Rock Rd Ste 310
Wichita, KS 67206-1264
Phone
(316) 612-1833
NPI assigned
Jun 23, 2009
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 04-38930 KS Primary

Addresses

Primary practice location

1861 N Rock Rd Ste 310
Wichita, KS 67206-1264

Mailing address

5519 E 4TH Ave
Hutchinson, KS 67501-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 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
I20160627001633 MN Practitioner - Dermatology 8820387855 Reassigns benefits to 1 organization
I20240313000864 TX Practitioner - Dermatology 8820387855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3601 4TH St
Suite 4A100
Lubbock, TX 79430-9400
Phone (806) 743-1842

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Promoting interoperability
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions289
Removal or shaving of skin growth1-10
Skin biopsy75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Feb 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Mid-Kansas Dermatology Clinic, PA Dermatology CurrentSince Sep 1, 2023 Accepting new patients
Twin Ports Dermatology Inc CurrentSince Jun 1, 2016 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Dermatology CurrentSince Feb 1, 2024 Accepting new patients
Scott E Manthei PC LTD Past Accepting new patients
Dermatology and Skin Cancer Specialists, LLC. Dermatology Past Accepting new patients

Locations

1861 N Rock Rd
Ste 310
Wichita, KS 67206
Phone (316) 612-1833

3730 N Ridge Rd
Ste 600
Wichita, KS 67205
Phone (316) 500-7207

1414 Woodland Ave
Duluth, MN 55803
Phone (218) 302-1000

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3601 4th St
Ste 4A100
Lubbock, TX 79430
Phone (806) 743-1842

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1952539421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5519 E 4TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675018001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061264",
            "telephone_number": "316-612-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "CAMERON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-38930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.