Individual provider Active NPI

Munachimso Ndukwu, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1225618325
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26933 Issued in NV
Practice address
6725 S Eastern Ave Ste 3
Las Vegas, NV 89119-3949
Phone
(702) 670-2260
Fax
(702) 745-0641
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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 26933 NV Primary

Addresses

Primary practice location

6725 S Eastern Ave Ste 3
Las Vegas, NV 89119-3949

Mailing address

6725 S Eastern Ave Ste 3
Las Vegas, NV 89119-3949

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
I20210805002428 NV Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6507260023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26933NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine Internal Medicine PastSince Apr 20, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: munachimso.ndukwu.1@19152.direct.athenahealth.com

Organizations & group practices 1

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1225618325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 S EASTERN AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 S EASTERN AVE STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193949",
            "telephone_number": "702-670-2260",
            "fax_number": "702-745-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKWU",
        "first_name": "MUNACHIMSO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "26933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.