Individual provider Active NPI

Uzoma C Osuchukwu, M.D

  • Child & Adolescent Psychiatry Physician
  • N Las Vegas, NV
National Provider Identifier
1063760411
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
16137 Issued in NV
Practice address
4310 W Cheyenne Ave Ste 100
N Las Vegas, NV 89032-2484
Phone
(617) 515-2570
NPI assigned
Aug 16, 2012
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 16137 NV Primary

Addresses

Primary practice location

4310 W Cheyenne Ave Ste 100
N Las Vegas, NV 89032-2484

Mailing address

4310 W Cheyenne Ave Ste 100
N Las Vegas, NV 89032-2484
Phone (617) 515-2570

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
I20160411001516 NV Practitioner - Psychiatry 6002136249 Reassigns benefits to 2 organizations
Practice locations: North Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatry IncGroup PAC ID 6800173576, 2 clinicians

Practice addresses (Care Compare)

4310 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Phone (702) 763-7811

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Health System Psychiatry CurrentSince Jan 15, 2020 Accepting new patients
Advanced Psychiatry Inc Psychiatry CurrentSince Jan 1, 2017 Accepting new patients
Treasure Health System Psychiatry Current Accepting new patients
Medtrans Medical Nevada Casal PLLC CurrentSince Sep 1, 2021 Accepting new patients
Homebase Care Casal PLLC CurrentSince Sep 1, 2021 Accepting new patients
Seven Hills Hospital, LLC Past Accepting new patients
Seven Hills Hospital, LLC Past Accepting new patients
Sunarch LLC Past Accepting new patients

Locations

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

5412 Boulder Hwy
Las Vegas, NV 89122
Phone (702) 383-2406

4310 W Cheyenne Ave
North Las Vegas, NV 89032
Phone (702) 763-7811

4310 W Cheyenne Ave
Ste 100
North Las Vegas, NV 89032
Phone (617) 515-2570

5105 Camino Al Norte
North Las Vegas, NV 89031
Phone (702) 750-2438

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1063760411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 W CHEYENNE AVE STE 100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "617-515-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 W CHEYENNE AVE STE 100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890322484",
            "telephone_number": "617-515-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUCHUKWU",
        "first_name": "UZOMA",
        "middle_name": "C",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "16137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.