Godwin O Maduka, MD, PHARMD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

8235 Issued in NV

Practice address

3835 S Jones Blvd Ste 104
Las Vegas, NV 89103-2283

Phone

(702) 880-4193

Fax

(702) 880-4197

NPI assigned

Sep 6, 2006

Last updated

May 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

University of Tennessee, HSC, College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Las Vegas Pain Institute and Medical Center, LLCGroup PAC ID 0941256846, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBFEDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Las Vegas Pain Institute and Medical Center, LLC

  dba Las Vegas Pain Institute and Medical Center

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1659431443
  Medicare reassignment Care Compare group NPD Authorized official
• Spring Valley Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1154481984
  Medicare reassignment Authorized official
• Comprehensive Urgent Care

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1578478673
  NPD (past) Authorized official
• Kuhl Consulting LV

  dba Spring Mountain Occupational

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1750162368
  NPD (past)
• Nevada Anesthesia Consultants LLP

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1679625453
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1548363583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W SAHARA AVE # 337",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891023654",
            "telephone_number": "702-880-4193",
            "fax_number": "702-880-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032283",
            "telephone_number": "702-880-4193",
            "fax_number": "702-880-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUKA",
        "first_name": "GODWIN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD, PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "8235",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "8235",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NV",
            "license": "8235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019950",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Madsen
• Malaina Madsen
• Tami Madsen, MA,LCPC STATE INTERN
• Emeka J Madu, ACNP
• Chimezie Maduka, RN
• Eunices Madula-Fernandez
• Brandon Madura
• Mae Nekoba, LLC
• Calvin Maefield
• Gabriella Marzella Maefield

• Interventional Pain Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Interventional Pain Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.

Verify at the official NPI Registry.