NPIMap

Individual provider Active NPI

Cyril Akokotu Ovuworie, M.D

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1255498135
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
9702 Issued in NV
Practice address
900 S Main St
Las Vegas, NV 89101-6425
Phone
(702) 369-3699
Fax
(702) 369-3664
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 9702 NV Primary

Addresses

Primary practice location

900 S Main St
Las Vegas, NV 89101-6425

Mailing address

900 S Main St
Las Vegas, NV 89101-6425
Phone (702) 369-3699

Other identifiers 1

IdentifierTypeStateIssuer
9702OtherNVNEVADA LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040630000079 NV Practitioner - NephrologyPractitioner - Internal Medicine 4385536556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4107 W Cheyenne Ave
North Las Vegas, NV 89032-3476
Phone (702) 369-3699

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kappellini Medical Inc. Nephrology CurrentSince Mar 13, 2001 Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Cyril Ovuworie, M.D. Prof. Corp PastSince Jul 1, 2003 Accepting new patients
American Dialysis Centers, North Las Vegas LLC PastSince Aug 23, 2017 Accepting new patients

Locations

2110 E Flamingo Rd
Ste 200
Las Vegas, NV 89119
Phone (702) 369-3699

900 S Main St
Las Vegas, NV 89101
Phone (702) 369-3699

1815 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 360-6404

4107 W Cheyenne Ave
Ste C
North Las Vegas, NV 89032

4107 W Cheyenne Ave
North Las Vegas, NV 89032
Phone (702) 369-3699

Interoperability endpoints

  • Direct secure messaging: covuworie18693@direct.umcsn.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1255498135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016425",
            "telephone_number": "702-369-3699",
            "fax_number": "702-369-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016425",
            "telephone_number": "702-369-3699",
            "fax_number": "702-369-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVUWORIE",
        "first_name": "CYRIL",
        "middle_name": "AKOKOTU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "9702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA LICENSE NUMBER",
            "identifier": "9702",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.