NPIMap

Individual provider Active NPI

Chinyere Okeke, MD

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1255562880
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14416 Issued in NV
Practice address
3110 S. Durango Drive
Ste 200
Las Vegas, NV 89117-1628
Phone
(702) 629-2986
NPI assigned
Jul 30, 2009
Last updated
Aug 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14416 NV Primary

Addresses

Primary practice location

3110 S. Durango Drive
Ste 200
Las Vegas, NV 89117-1628

Mailing address

PO Box 400997
Las Vegas, NV 89140-0997
Phone (775) 250-8458

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
I20120816000282 NV Practitioner - Family Practice 2264688738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3110 S Durango Dr
200 Grand Desert Medical
Las Vegas, NV 89117-9198
Phone (702) 629-2986

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14416NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chinyere Okeke MD LTD Family Medicine CurrentSince Mar 29, 2014 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Desert Behavioral Solutions LLC PastSince Jan 29, 2019 Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Matthew Okeke, M.D. LTD Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

3110 S Durango Dr
Ste 200
Las Vegas, NV 89117
Phone (702) 415-9760

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1255562880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400997",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891400997",
            "telephone_number": "775-250-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 S. DURANGO DRIVE",
            "address_2": "STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171628",
            "telephone_number": "702-629-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "CHINYERE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "14416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.