Advanced Rheumatology Associates of Nevada Modjinou PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

ADVANCED RHEUMATOLOGY ASSOCIATES OF NEVADA MODJINOU PLLC

Practice address

861 Coronado Center Dr Ste 220
Henderson, NV 89052-3992

Phone

(702) 984-3776

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Ernest G Barela

Title

Operations

Phone

(702) 413-2177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dodji Modjinou, M.D.

  • Rheumatology Physician
  • Henderson, NV
  • NPI 1710120068

  NV, Rheumatology

  Medicare reassignment NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1508544743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 CORONADO CENTER DR STE 220",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523992",
            "telephone_number": "702-984-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 CORONADO CENTER DR STE 220",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523992",
            "telephone_number": "702-984-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RHEUMATOLOGY ASSOCIATES OF NEVADA MODJINOU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "BARELA",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "702-413-2177"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Henderson, NV
• Rheumatology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.