Individual provider Active NPI

Dawn Marie Pekarek, M.D.

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1205846722
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
21423 Issued in NV
Practice address
5761 S. Fort Apace Rd.
BLDG. 8
Las Vegas, NV 89148-5506
Phone
(702) 341-6610
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X C132839 CA
Maternal & Fetal Medicine Physician 207VM0101X 35093017 OH
Maternal & Fetal Medicine Physician 207VM0101X 304218 LA
Maternal & Fetal Medicine Physician 207VM0101X 21423 NV Primary

Addresses

Primary practice location

5761 S. Fort Apace Rd.
BLDG. 8
Las Vegas, NV 89148-5506

Mailing address

5761 S. Fort Apace Rd.
BLDG. 8
Las Vegas, NV 89148-5506
Phone (702) 341-6610

Other identifiers 6

IdentifierTypeStateIssuer
00932152MedicaidAL
009932153MedicaidAL
051530368OtherALBCBS
051530370OtherALBCBS
009932151MedicaidAL
051530360OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NV2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170731000332 LA Practitioner - Obstetrics/Gynecology 5193756443 Reassigns benefits to 1 organization
I20240514002800 NV Practitioner - Obstetrics/Gynecology 5193756443 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C132839CAMDMaternal & Fetal Medicine Physician
304218LAMDMaternal & Fetal Medicine Physician
35093017OHMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 7, 2017 Accepting new patients
Unlv Medicine CurrentSince Mar 9, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 7, 2017 Accepting new patients
Unlv Medicine CurrentSince Mar 9, 2024 Accepting new patients
Adashek and Wilkes LLP Maternal & Fetal Medicine CurrentSince Apr 3, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Monterey County Behavioral Health Division Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

4429 Clara St
New Orleans, LA 70115
Phone (504) 842-9618

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

1514 Jefferson Hwy
New Orleans, LA 70121

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

700 Shadow Ln
Ste 165
Las Vegas, NV 89106
Phone (702) 522-9640

5761 S Fort Apache Rd
Bldg 8
Las Vegas, NV 89148
Phone (702) 341-6610

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

1707 W Charleston Blvd
Ste 220
Las Vegas, NV 89102
Phone (702) 671-5070

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1205846722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 S. FORT APACE RD.",
            "address_2": "BLDG. 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485506",
            "telephone_number": "702-341-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 S. FORT APACE RD.",
            "address_2": "BLDG. 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485506",
            "telephone_number": "702-341-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKAREK",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "C132839",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35093017",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "LA",
            "license": "304218",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NV",
            "license": "21423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00932152",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932153",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051530368",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051530370",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932151",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051530360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.