Individual provider Active NPI

Okwuchukwu Ginika Obi, MD

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
National Provider Identifier
1285044495
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
18559 Issued in NV
Practice address
1900 N Nellis Blvd
Las Vegas, NV 89115-6743
Phone
(702) 880-4193
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 18559 NV Primary

Addresses

Primary practice location

1900 N Nellis Blvd
Las Vegas, NV 89115-6743

Mailing address

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Phone (702) 880-4193

Other practice location 1

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283
Phone (702) 880-4193

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
I20190219002771 NV Practitioner - Anesthesiology 7719280999 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians
Las Vegas Pain Institute and Medical Center, LLCGroup PAC ID 0941256846, 8 clinicians

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

3835 S Jones Blvd
Las Vegas, NV 89103-2283
Phone (702) 880-4193

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18559NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Medical Group LLC CurrentSince Oct 11, 2021 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Oct 19, 2022 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Mar 1, 2020 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Oct 19, 2022 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Mar 1, 2020 Accepting new patients
Las Vegas Pain Institute and Medical Center, LLC Pain Medicine CurrentSince Jan 28, 2019 Accepting new patients
Comprehensive Urgent Care Past Accepting new patients
Kuhl Consulting LV Pain Medicine Past Accepting new patients

Locations

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

2705 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 227-4440

2705 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052

1050 E Sahara Ave
Ste 100
Las Vegas, NV 89104

4955 S Durango Dr
Ste 164
Las Vegas, NV 89113
Phone (702) 664-9520

1900 N Nellis Blvd
Ste D
Las Vegas, NV 89115
Phone (702) 227-4440

8828 Mohawk St
Las Vegas, NV 89139

3835 S Jones Blvd
Ste 103
Las Vegas, NV 89103
Phone (702) 227-4440

7175 N Durango Dr
Ste 110
Las Vegas, NV 89149
Phone (702) 227-4440

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

3835 S Jones Blvd
Ste 104
Las Vegas, NV 89103
Phone 7028804193750

1900 N Nellis Blvd
Las Vegas, NV 89115
Phone (702) 227-4040

4616 W Sahara Ave
#337
Las Vegas, NV 89102

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

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.

Hospital & facility affiliations 12

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1285044495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032283",
            "telephone_number": "702-880-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N NELLIS BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156743",
            "telephone_number": "702-880-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3835 S Jones Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032283",
            "country_code": "US",
            "telephone_number": "702-880-4193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBI",
        "first_name": "OKWUCHUKWU",
        "middle_name": "GINIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "18559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.