Active NPI
Adedayo O Mokuolu, MD
- Gastroenterology Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 12563
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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 100
- Quality
- 90
- Improvement activities
- 0
- Cost
- 74.82
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 179 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 128 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12563 | NV | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Gastroenterology Associates | Gastroenterology | Current | 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
- 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.
-
- Gastroenterology Physician
- Henderson, NV
- NPI 1801926324
-
- Ambulatory Surgical Clinic/Center
- Las Vegas, NV
- NPI 1710813787
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
-
- Ambulatory Surgical Clinic/Center
- Henderson, NV
- NPI 1174716708
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.