Active NPI
Gilbert Mudiwa Nyamuswa, M.D.
- Hematology & Oncology Physician
- Henderson, NV
National Provider Identifier
1235136854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 7231
- Practice address
- 10001 S Eastern Ave Ste 301
Henderson, NV 89052 - Phone
- (702) 852-2017
- NPI assigned
- Jun 29, 2005
- Last updated
- Sep 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 23231 | AZ | |
| Hematology & Oncology Physician | 207RH0003X | 7231 | NV | Primary |
Addresses
Primary practice location
10001 S Eastern Ave Ste 301
Henderson, NV 89052
Mailing address
18000 Studebaker Rd Ste 800
Cerritos, CA 90703-2671
Phone (562) 735-3226
Other practice location 1
4750 W Oakey Blvd Ste 2B
Las Vegas, NV 89102-1535
Phone (702) 724-8787
Other practice location 2
2911 N Tenaya Way Ste 210
Las Vegas, NV 89128-0464
Phone (702) 342-1244
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002019528 | Medicaid | NV | |
| 389751 | Medicaid | AZ | |
| 830004165 | Other | NV | RAILROAD MEDICARE |
| 900001898 | Other | AZ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7231 | NV | MD | General Practice Dentistry |
| 23231 | AZ | MD | Hematology & Oncology Physician |
Interoperability endpoints
- gilbert.nyamuswa@theoncologyinstitute.ikm.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1235136854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 STUDEBAKER RD STE 800",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907032671",
"telephone_number": "562-735-3226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 S EASTERN AVE STE 301",
"city": "HENDERSON",
"state": "NV",
"postal_code": "89052",
"telephone_number": "702-852-2017"
}
],
"practiceLocations": [
{
"address_1": "4750 W Oakey Blvd Ste 2B",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021535",
"country_code": "US",
"telephone_number": "702-724-8787",
"fax_number": "702-878-3078",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2911 N Tenaya Way Ste 210",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891280464",
"country_code": "US",
"telephone_number": "702-342-1244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYAMUSWA",
"first_name": "GILBERT",
"middle_name": "MUDIWA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-29",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AZ",
"license": "23231",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NV",
"license": "7231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002019528",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "389751",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830004165",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "900001898",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.