Individual provider Active NPI

Godwin Inalegwu Ofikwu

  • Colon & Rectal Surgery Physician
  • Henderson, NV
National Provider Identifier
1396056404
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
16681 Issued in NV
Practice address
1040 Wigwam Pkwy Ste 100
Henderson, NV 89074-8172
Phone
(702) 852-1888
Fax
(702) 829-8399
NPI assigned
Jun 24, 2010
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Colon & Rectal Surgery Physician 208C00000X 4301108393 MI
Colon & Rectal Surgery Physician 208C00000X 16681 NV Primary

Addresses

Primary practice location

1040 Wigwam Pkwy Ste 100
Henderson, NV 89074-8172

Mailing address

1040 Wigwam Pkwy Ste 100
Henderson, NV 89074-8172
Phone (702) 852-1888

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
I20180406000830 NV Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 4082995535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1040 Wigwam Pkwy
Suite 100
Henderson, NV 89074-8172
Phone (702) 852-1888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108393MIMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Stoma and Surgical Wound Solutions PLLC Current Accepting new patients
Global Surgical Solutions PLLC CurrentSince Jan 13, 2018 Accepting new patients
Global Surgical Solutions PLLC Colon & Rectal Surgery CurrentSince Jan 13, 2018 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Ocean Surgical & Oncology Associates, P.C PastSince Jul 1, 2010 Accepting new patients
Global Surgical Solutions PLLC Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Mountain View Hospital LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

10001 S Eastern Ave
Ste 305
Henderson, NV 89052
Phone (702) 749-6688

1040 Wigwam Pkwy
Ste 100
Henderson, NV 89074
Phone (702) 852-1888

1040 Wigwam Pkwy
Ste 110
Henderson, NV 89074
Phone (702) 558-6430

Interoperability endpoints

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

Organizations & group practices 11

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1396056404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748172",
            "telephone_number": "702-852-1888",
            "fax_number": "702-829-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 WIGWAM PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748172",
            "telephone_number": "702-852-1888",
            "fax_number": "702-829-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFIKWU",
        "first_name": "GODWIN",
        "middle_name": "INALEGWU",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301108393",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NV",
            "license": "16681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.