Individual provider Active NPI

Erika Cordero Mauban, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1487279642
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25585 Issued in NV
Practice address
9970 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-7700
Phone
(702) 978-8900
Fax
(702) 978-7617
NPI assigned
Jun 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2020016220 MO
Obstetrics & Gynecology Physician 207V00000X 25585 NV Primary

Addresses

Primary practice location

9970 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-7700

Mailing address

9970 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-7700
Phone (702) 978-8900

Other practice location 1

2011 Pinto Ln Ste 103
Las Vegas, NV 89106-4005
Phone (702) 978-8900

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
I20240614003729 NV Practitioner - Obstetrics/Gynecology 1759703275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Nevada School of Medicine, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

Practice addresses (Care Compare)

9970 W Cheyenne Ave
Suite 100
Las Vegas, NV 89129-7700
Phone (702) 978-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020016220MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iriye Medical Group PLLC CurrentSince Jul 1, 2024 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

2011 Pinto Ln
Ste 103
Las Vegas, NV 89106
Phone (702) 463-2981

2011 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 382-3200

9970 W Cheyenne Ave
#100
Las Vegas, NV 89129
Phone (702) 978-8900

9970 W Cheyenne Ave
Ste 100
Las Vegas, NV 89129
Phone (702) 978-8900

Interoperability endpoints

  • Direct secure messaging: erika.mauban.1@27017.direct.athenahealth.com

Organizations & group practices 3

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": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1487279642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297700",
            "telephone_number": "702-978-8900",
            "fax_number": "702-978-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297700",
            "telephone_number": "702-978-8900",
            "fax_number": "702-978-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Pinto Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891064005",
            "country_code": "US",
            "telephone_number": "702-978-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUBAN",
        "first_name": "ERIKA",
        "middle_name": "CORDERO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-13",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2020016220",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "25585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.