Cindy Ugochi Udom, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0404 Issued in NV

Practice address

5523 S Eastern Ave
Las Vegas, NV 89119-2312

Phone

(702) 463-4050

NPI assigned

Mar 2, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kevin Bernstein MD LLCGroup PAC ID 7911150644, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Vista Hospital Hospital, North Las Vegas, NV, CCN 290005

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Kevin Bernstein MD LLC

  • Geriatric Psychiatry Physician
  • Las Vegas, NV
  • NPI 1619213998
  Medicare reassignment Care Compare group
• Eugene Rosenman, MD LTD

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1265568703
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NV

  Medicare reassignment
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  UT

  Medicare reassignment

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

• North Vista Hospital LLC

  • General Acute Care Hospital
  • North Las Vegas, NV
  • NPI 1720037799
  Care Compare affiliation

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1306348644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 REDHEAD DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842303",
            "telephone_number": "510-565-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192312",
            "telephone_number": "702-463-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOM",
        "first_name": "CINDY",
        "middle_name": "UGOCHI",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cesar P Udani, MD
• Uday R Saraiya MD LTD
• Alexander Udell, D.O.
• Janee Chinyelu Udensi
• John Ndubuisi Udo, FNP, APRN
• Faitolo Anthony Ueligitone Jr.
• Lindsey-Mae Ugale, MSN, APRN, FNP-BC
• Sarah Michelle Labajo Uganiza, RBT
• Iluminada Amet Ugarte
• Roberto Ugaz Santana

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.