Individual provider Active NPI

Okey Justin Oparanaku, M.D

  • Rheumatology Physician
  • North Las Vegas, NV
National Provider Identifier
1588822936
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
15157 Issued in NV
Practice address
5105 Camino Al Norte
North Las Vegas, NV 89031-2373
Phone
(702) 750-2173
Fax
(702) 750-2173
NPI assigned
May 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 44562 AZ
Internal Medicine Physician 207R00000X 250282 NY
Internal Medicine Physician 207R00000X 0101244164 VA
Rheumatology Physician 207RR0500X 15157 NV Primary

Addresses

Primary practice location

5105 Camino Al Norte
North Las Vegas, NV 89031-2373

Mailing address

5105 Camino Al Norte
North Las Vegas, NV 89031-2373
Phone (702) 750-2173

Other identifiers 2

IdentifierTypeStateIssuer
1588822936MedicaidNV
44562OtherAZLICENSE

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
I20140805002998 NV Practitioner - Rheumatology 0345418356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 N Martin Luther King Blvd
Suite a
North Las Vegas, NV 89032
Phone (702) 723-2086

Merit-based Incentive Payment System (MIPS)

Final score
16.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250282NYMDInternal Medicine Physician
0101244164VAMDInternal Medicine Physician
44562AZMDRheumatology Physician
15157NVMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Vegas Rheumatology Associates Rheumatology CurrentSince Jul 1, 2014 Accepting new patients
The Valley Hospital Inc. Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
PHC-Fort Mohave Inc Past Accepting new patients

Locations

3360 E Russell Rd
#A
Las Vegas, NV 89120

5105 Camino Al Norte
North Las Vegas, NV 89031
Phone (702) 750-2438

4100 N Martin L King Blvd
Ste A
North Las Vegas, NV 89032
Phone (702) 723-2086

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1588822936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 CAMINO AL NORTE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-750-2173",
            "fax_number": "702-750-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 CAMINO AL NORTE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-750-2173",
            "fax_number": "702-750-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPARANAKU",
        "first_name": "OKEY",
        "middle_name": "JUSTIN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-31",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "44562",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250282",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244164",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "15157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588822936",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "44562",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.