Individual provider Active NPI

Emmanuel I Okechukwu, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1023066958
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11668 Issued in NV
Practice address
11870 Tevare LN Unit 2084
Las Vegas, NV 89138-6505
Phone
(702) 210-2763
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11668 NV Primary

Addresses

Primary practice location

11870 Tevare LN Unit 2084
Las Vegas, NV 89138-6505

Mailing address

11870 Tevare LN Unit 2084
Las Vegas, NV 89138-6505
Phone (702) 210-2763

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060403000327 NV Practitioner - Internal Medicine 1850384850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albion Medical Group of Nevada, PCGroup PAC ID 4183891294, 23 clinicians

Practice addresses (Care Compare)

3150 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0446
Phone (702) 869-9200

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel Okechukwu MD PC Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Albion Medical Group of Nevada, PC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
City Urgent Care, P.C. Internal Medicine Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients
Tufail & Associates Internal Medicine Past Accepting new patients
City Urgent Care, P.C. Internal Medicine Past Accepting new patients

Locations

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

3150 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 233-4950

8414 Farm Rd
Ste 180474
Las Vegas, NV 89131

Interoperability endpoints

  • Direct secure messaging: emmanuel.okechukwu.p5@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: emmanuel.okechukwu.1@32527.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1023066958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 TEVARE LN UNIT 2084",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386505",
            "telephone_number": "702-210-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 TEVARE LN UNIT 2084",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891386505",
            "telephone_number": "702-210-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKECHUKWU",
        "first_name": "EMMANUEL",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.