DR. KENNETH W WEST (MD) – Specialist, NPI 1508864125

DR. KENNETH W WEST (MD) is a healthcare provider. based in Texarkana, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. L2745 (TX). The NPI Number for DR. KENNETH W WEST (MD) is 1508864125

Main info

Male
30 Years Of Experience
Name
DR. KENNETH W WEST (MD)
NPI
1508864125
Phone
(903) 792-4808
Address
1002 TEXAS BLVD
Enumeration Date
8 July 2005
Last Update Date
22 October 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
9037921404
Graduation Year
1996 (30 years ago)
PAC ID
3375527922
Group Practice PAC ID
5991760811
Professional Enrollment ID
I20040614000536
Address ID
TX755015133TE1002XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. KENNETH W WEST (MD)

  • 1002, Texas Boulevard, Texarkana, Bowie County, Texas, 75501, United States

    SUITE 200

    TEXARKANA, TX 755015107

    Phone: (903) 792-4808

    Fax: (903) 792-2681

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $290.

Total Amount is formed as General ($290) + Research ($0) + Ownership ($0) = $290.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: SHIELD THERAPEUTICS INC ($103).

Total Amount

$290

General + Research + Ownership

Payments

13

Total payment records

General Amount

$290

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040614000536IObstetrics/GynecologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3823$0
99214Established patient office or other outpatient visit, 30-39 minutes1612$0
View full utilization report →

Insurance plans in this area (ZIP 75501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991760811View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KENNETH W WEST (MD)?
NPI 1508864125 is assigned to DR. KENNETH W WEST (MD) under the national enumeration system.
Is DR. KENNETH W WEST (MD) currently active in the NPI registry?
CMS-published data lists DR. KENNETH W WEST (MD) as an active registrant.
Can you summarize DR. KENNETH W WEST (MD)'s specialty in plain language?
Clinically, the directory lists DR. KENNETH W WEST (MD) with Other Service Providers. Clinical services aligned with this taxonomy classification.
What location shows for DR. KENNETH W WEST (MD)?
We surface Texarkana, Texas for DR. KENNETH W WEST (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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