Individual provider Active NPI

Adedayo O Mokuolu, MD

  • Gastroenterology Physician
  • Henderson, NV
National Provider Identifier
1467485409
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12563 Issued in NV
Practice address
2625 Wigwam Pkwy
Ste 112
Henderson, NV 89074-7326
Phone
(702) 255-5900
Fax
(702) 255-5980
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12563 NV Primary

Addresses

Primary practice location

2625 Wigwam Pkwy
Ste 112
Henderson, NV 89074-7326

Mailing address

2625 Wigwam Pkwy Ste 112
Henderson, NV 89074-7326
Phone (702) 255-5900

Other practice location 1

3235 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3188
Phone (702) 255-5900

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
I20080314000057 NV Practitioner - GastroenterologyPractitioner - Internal Medicine 1557348091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2625 Wigwam Pkwy
Suite 112
Henderson, NV 89074-7326
Phone (702) 255-5900

Merit-based Incentive Payment System (MIPS)

Final score
59.2 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
74.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy179
Upper gastrointestinal (GI) endoscopy for acid reflux128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12563NVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Gastroenterology Associates Gastroenterology CurrentSince Mar 14, 2013 Accepting new patients
Pecos Surgery Center LLC Current Accepting new patients
Henderson Surgery Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

2510 Wigwam Pkwy
Ste 102
Henderson, NV 89074
Phone (702) 255-5900

2625 Wigwam Pkwy
Ste 112
Henderson, NV 89074
Phone (702) 255-5900

1110 Wigwam Pkwy
#105
Henderson, NV 89074
Phone (702) 564-1344

Interoperability endpoints

  • Direct secure messaging: desertgastroenterologyassoc.adedayomokuolu@131545.advancedmd-direct.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1467485409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 WIGWAM PKWY STE 112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747326",
            "telephone_number": "702-255-5900",
            "fax_number": "702-255-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WIGWAM PKWY",
            "address_2": "STE 112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747326",
            "telephone_number": "702-255-5900",
            "fax_number": "702-255-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 E Warm Springs Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203188",
            "country_code": "US",
            "telephone_number": "702-255-5900",
            "fax_number": "702-255-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOKUOLU",
        "first_name": "ADEDAYO",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "12563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.