Mallary West, DO
NPI 1164985917 · Pediatrics Physician · Edina, MN
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mallary West, DO is a Pediatrics Physician provider in Edina, MN (NPI 1164985917).
Provider details
- NPI number
- 1164985917
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2450 Riverside AveMinneapolis, MN 55454-1450Phone: (612) 365-6777
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2023-01-24
- Certified
- 2023-01-24
Frequently asked questions
- What is Mallary West's NPI number?
- Mallary West's National Provider Identifier (NPI) is 1164985917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallary West's specialty?
- Mallary West is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mallary West located?
- Mallary West's practice location on file with NPPES is 6517 Drew Ave S, Edina, MN 55435-2103.
- What is Mallary West's phone number?
- The practice phone number listed in the NPPES registry for Mallary West is (952) 920-9191.
- Does Mallary West accept Medicare?
- Mallary West is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mallary West's NPI active?
- Yes — Mallary West's NPI (1164985917) is active in the NPPES registry as of the last update on 2023-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.