Organization Active NPI

Monitoring Associates LLC

  • Electrodiagnostic Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1174916522
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
MONITORING ASSOCIATES LLC
Practice address
9811 W Charleston Blvd Ste 2-641
Las Vegas, NV 89117
Phone
(855) 864-4322
NPI assigned
Mar 10, 2015
Last updated
Jan 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Mr. Nick Luekenga
Title
Ceo Owner
Phone
(855) 864-4322

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU
Electrodiagnostic Medicine Physician 204R00000X NU Primary

Addresses

Primary practice location

9811 W Charleston Blvd Ste 2-641
Las Vegas, NV 89117

Mailing address

Dept 880256, PO Box 29650
Phoenix, AZ 85038-9650
Phone (855) 864-4322

Other practice location 1

105 Ziebach St # 209
Belle Fourche, SD 57717-2321
Phone (855) 864-4322

Other practice location 2

6479 US Highway 93 S #1023
Whitefish, MT 59937-7824
Phone (855) 864-4322

Other practice location 3

1110 Cowan Rd Ste B #2065
Gulfport, MS 39507-3441
Phone (855) 864-4322

Other practice location 4

867 Boylston St 5th Floor #2193
Boston, MA 02116-2774
Phone (855) 864-4322

Other practice location 5

5520 Johnston St Ste K #1175
Lafayette, LA 70503-5138
Phone (855) 864-4322

Other practice location 6

5475 Broadway # 125
Merrillville, IN 46410-1647
Phone (855) 864-4322

Other practice location 7

5145 N Clark St # 1019
Chicago, IL 60640-2829
Phone (855) 864-4322

Other practice location 8

200 N Vineyard Blvd Ste A325-5452
Honolulu, HI 96817
Phone (855) 864-4322

Other practice location 9

361 Southwest Dr Ste 727
Jonesboro, AR 72401-5854
Phone (855) 864-4322

Other practice location 10

4171 Lomac Street Suite F #1128
Montgomery, AL 36106
Phone (855) 864-4322

Other practice location 11

500 4th St NW Ste 102-1007
Albuquerque, NM 87102-5324
Phone (855) 864-4322

Other practice location 12

333 West Brown Deer Road Unit G-558
Milwaukee, WI 53217-2372
Phone (855) 864-4322

Other practice location 13

50A Northwestern Drive Ste 2 #9013
Salem, NH 03079-4827
Phone (855) 864-4322

Other practice location 14

6608 N Western Avenue #1505
Oklahoma, OK 73116
Phone (855) 864-4322

Other identifiers 12

IdentifierTypeStateIssuer
300018292MedicaidIN
300018099MedicaidIN
300018411MedicaidIN
300015388MedicaidIN
1174916522MedicaidMN
300015741MedicaidIN
300018261MedicaidIN
300018278MedicaidIN
Q048234MedicaidTN
300018408MedicaidIN
300018414MedicaidIN
300018331MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ, CO, UT, CA, IN, ID, MT, MI, IL, SD, VA, TX, AR, TN, AL, HI, WA, VT, NC, PA21 enrollments

Enrollment records 21

Enrollment IDStateProvider typePAC IDDetails
O20151217002562 NV Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 6 practitioners
Practice locations: Reno, NV; Las Vegas, NV
O20170303001802 AZ Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ; Sun City, AZ; Scottsdale, AZ; Safford, AZ; Phoenix, AZ; Chandler, AZ; Glendale, AZ; Mesa, AZ
O20170324001023 CO Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CO; Thornton, CO; Louisville, CO; Silverthorne, CO; Loveland, CO; Littleton, CO; Lafayette, CO; Fort Collins, CO
O20170410001600 UT Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 1 practitioner
Practice locations: Orem, UT; Payson, UT; Ogden, UT; Provo, UT; Riverton, UT; Salt Lake City, UT; West Jordan, UT; West Valley City, UT…
O20170413002544 CA Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 3 practitioners
Practice locations: Bakersfield, CA; Tustin, CA
O20170428001095 IN Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 2 practitioners
Practice locations: Indianapolis, IN; Terre Haute, IN; Mishawaka, IN; Lafayette, IN; Jasper, IN; Fort Wayne, IN
O20171110001647 ID Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 1 practitioner
Practice locations: Blackfoot, ID; Idaho Falls, ID; Nampa, ID; Pocatello, ID; Soda Springs, ID
O20171115002188 MT Part B Supplier - Clinic/Group Practice 8921314923 Practice locations: Bozeman, MT; Kalispell, MT; Missoula, MT
O20171128002423 MI Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 2 practitioners
Practice locations: Oak Park, MI
O20171130002433 IL Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 3 practitioners
Practice locations: Centralia, IL; Joliet, IL; Lindenhurst, IL; Mokena, IL; Mount Vernon, IL; New Lenox, IL; Orland Park, IL; Bartlett, IL
O20180319001486 SD Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux Falls, SD
O20200518000572 VA Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 1 practitioner
Practice locations: Poquoson, VA
O20200729003703 TX Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 10 practitioners
Practice locations: McKinney, TX
O20211104000267 AR Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 3 practitioners
Practice locations: Fayetteville, AR
O20220502001507 TN Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 2 practitioners
Practice locations: Chattanooga, TN; Powell, TN; Knoxville, TN; Jefferson City, TN; Cleveland, TN; Clarksville, TN
O20220629001400 AL Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 2 practitioners
Practice locations: Montgomery, AL
O20220926001710 HI Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI
O20231229000008 WA Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 2 practitioners
Practice locations: Blaine, WA; Kirkland, WA
O20240314000283 VT Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 1 practitioner
Practice locations: Woodstock, VT
O20240701001578 NC Part B Supplier - Clinic/Group Practice 8921314923 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC
O20260618000512 PA Part B Supplier - Clinic/Group Practice 8921314923 Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

625 N A St
Ste 300
Oxnard, CA 93030
Phone (805) 351-0745

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

50A Northwestern Dr
Ste 2
Salem, NH 03079
Phone (978) 225-0888

7455 W Washington Ave
Ste 302
Las Vegas, NV 89128
Phone (281) 495-5966

105 Ziebach St
#209
Belle Fourche, SD 57717

550 N Central Expy
Unit 707
McKinney, TX 75070
Phone (214) 865-6310

6053 S Fashion Square Dr
Ste 100
Salt Lake City, UT 84107
Phone (801) 262-0088

8 Th Ave And C St
Salt Lake City, UT 84143
Phone (801) 408-5046

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

373 Martin St
Ste 202
Blaine, WA 98230

Practitioners & affiliated clinicians

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 91

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1174916522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 880256, PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "855-864-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD STE 2-641",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "855-864-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Ziebach St # 209",
            "address_purpose": "LOCATION",
            "city": "Belle Fourche",
            "state": "SD",
            "postal_code": "577172321",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6479 US Highway 93 S #1023",
            "address_purpose": "LOCATION",
            "city": "Whitefish",
            "state": "MT",
            "postal_code": "599377824",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Cowan Rd Ste B #2065",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395073441",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "867 Boylston St 5th Floor #2193",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162774",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5520 Johnston St Ste K #1175",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705035138",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5475 Broadway # 125",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464101647",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 N Clark St # 1019",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606402829",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Vineyard Blvd Ste A325-5452",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "96817",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "361 Southwest Dr Ste 727",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724015854",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4171 Lomac Street Suite F #1128",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "36106",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 4th St NW Ste 102-1007",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025324",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 West Brown Deer Road Unit G-558",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532172372",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50A Northwestern Drive Ste 2 #9013",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030794827",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6608 N Western Avenue #1505",
            "address_purpose": "LOCATION",
            "city": "Oklahoma",
            "state": "OK",
            "postal_code": "73116",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONITORING ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "LUEKENGA",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "855-864-4322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018292",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018099",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018411",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015388",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174916522",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015741",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018261",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018278",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q048234",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018408",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018414",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300018331",
            "state": "IN"
        }
    ],
    "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 Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.