Active NPI
Ejine Okoroafor, M.D.
- Psychiatry Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15734
- Practice address
- 5440 W Sahara Ave
Suite 202
Las Vegas, NV 89146-0355 - Phone
- (914) 426-7774
- NPI assigned
- Aug 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15734 | NV | Primary |
Addresses
Primary practice location
5440 W Sahara Ave
Suite 202
Las Vegas, NV 89146-0355
Mailing address
5440 W Sahara Ave
Suite 202
Las Vegas, NV 89146-0355
Phone (914) 426-7774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6765 W Charleston Blvd
Suite 110
Las Vegas, NV 89146-2001
Phone (702) 463-4377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anywhere Clinic LLC | Psychiatry | Current | Accepting new patients |
| State of Nevada | Current | Accepting new patients | |
| State of Nevada | Current | Accepting new patients | |
| Southern Nevada Adult Mental Health | Current | Accepting new patients | |
| Ejine Okoroafor M D LTD | Psychiatry | Current | Accepting new patients |
Locations
4150 Technology Way
Ste 300
Carson City, NV 89706
Phone (775) 684-4200
4150 Technology Way
Ste 100
Carson City, NV 89706
1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420
6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400
6765 W Charleston Blvd
Ste 110
Las Vegas, NV 89146
Phone (702) 463-4377
4029 Dean Martin Dr
Las Vegas, NV 89103
Phone (702) 919-1508
11700 W Charleston Blvd
#17036
Las Vegas, NV 89135
5440 W Sahara Ave
Ste 202
Las Vegas, NV 89146
Phone (702) 296-4844
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1689069585
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1316460850
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ely, NV
- NPI 1760572010
-
- Adult Mental Health Clinic/Center
- Las Vegas, NV
- NPI 1891756920
-
- Skilled Nursing Facility
- Boulder City, NV
- NPI 1083612741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1003164377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5440 W SAHARA AVE",
"address_2": "SUITE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460355",
"telephone_number": "914-426-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5440 W SAHARA AVE",
"address_2": "SUITE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460355",
"telephone_number": "914-426-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOROAFOR",
"first_name": "EJINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-17",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NV",
"license": "15734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.