Individual provider Active NPI

Emmanuel K Onwutuebe, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1447224431
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10254 Issued in NV
Practice address
7575 W Washington Ave # 127-156
Las Vegas, NV 89128-4333
Phone
(702) 450-1717
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10254 NV Primary

Addresses

Primary practice location

7575 W Washington Ave # 127-156
Las Vegas, NV 89128-4333

Mailing address

3860 W Ann Rd Ste 110
North Las Vegas, NV 89031-4410
Phone (702) 450-1717

Other practice location 1

500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1082
Phone (702) 450-1717

Other practice location 2

3860 W Ann Rd Ste 110
North Las Vegas, NV 89031-4410
Phone (702) 909-3300

Other identifiers 1

IdentifierTypeStateIssuer
2018728MedicaidNV

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
I20070308000136 NV Practitioner - Internal Medicine 7113020397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6900 N Durango Dr
Las Vegas, NV 89149-4409
Phone (702) 835-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Hospitalist Group LLP Internal Medicine PastSince Oct 1, 2023 Accepting new patients
Tufail & Associates Internal Medicine Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Jeaniene a Talley MD a Professional PastSince Aug 1, 2021 Accepting new patients
Khoa D Le Internal Medicine PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 6

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 2

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1447224431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 W ANN RD STE 110",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314410",
            "telephone_number": "702-450-1717",
            "fax_number": "702-947-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 W WASHINGTON AVE # 127-156",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284333",
            "telephone_number": "702-450-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Rainbow Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891071082",
            "country_code": "US",
            "telephone_number": "702-450-1717",
            "fax_number": "702-947-6740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3860 W Ann Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890314410",
            "country_code": "US",
            "telephone_number": "702-909-3300",
            "fax_number": "702-909-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONWUTUEBE",
        "first_name": "EMMANUEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018728",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.