Active NPI
Emmanuel K Onwutuebe, MD
- Internal Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10254
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018728 | Medicaid | NV |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada Hospitalist Group LLP | Internal Medicine | Past | 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 | Past | Accepting new patients | |
| Khoa D Le | Internal Medicine | Past | 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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1467518829
-
- Family Medicine Physician
- N Las Vegas, NV
- NPI 1356528103
-
- Internal Medicine Physician
- N Las Vegas, NV
- NPI 1679750996
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1639289598
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
-
- Home Health Agency
- Las Vegas, NV
- NPI 1801044235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.