Active NPI
American Dialysis Centers, North Las Vegas LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- AMERICAN DIALYSIS CENTERS, NORTH LAS VEGAS LLC
- Practice address
- 4107 W Cheyenne Ave
North Las Vegas, NV 89032-3476 - Phone
- (702) 383-9741
- Fax
- (702) 387-1145
- NPI assigned
- Aug 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cyril Ovuworie, M.D.
- Title
- Manager
- Phone
- (702) 232-1186
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
4107 W Cheyenne Ave
North Las Vegas, NV 89032-3476
Mailing address
900 S Main St
Las Vegas, NV 89101-6425
Phone (702) 383-9741
Other names 1
- ADC, NORTH LAS VEGAS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181005002191 | NV | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6002168838 | Practice locations: North Las Vegas, NV |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- 292523 American Dialysis Centers Las Vegas
- Overall star rating
- Ownership
- Profit
- Certified
- Nov 22, 2004
- Medicare certification status
- Active
- Dialysis stations
- 19
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- 292556-American Dialysis Centers North Las Vegas LLC
- Overall star rating
- Ownership
- Profit
- Certified
- Jul 17, 2019
- Medicare certification status
- Active
- Dialysis stations
- 31
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
National Provider Directory
National Provider DirectoryLocations
4107 W Cheyenne Ave
Ste B
North Las Vegas, NV 89032
Phone (702) 383-9741
4107 W Cheyenne Ave
North Las Vegas, NV 89032
Phone (702) 369-3699
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Las Vegas, NV
- NPI 1255498135
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1023599784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S MAIN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016425",
"telephone_number": "702-383-9741",
"fax_number": "702-387-1145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 W CHEYENNE AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890323476",
"telephone_number": "702-383-9741",
"fax_number": "702-387-1145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN DIALYSIS CENTERS, NORTH LAS VEGAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-22",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "OVUWORIE",
"authorized_official_first_name": "CYRIL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-232-1186",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ADC, NORTH LAS VEGAS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ADC, NORTH LAS VEGAS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.