Individual provider Active NPI

Maria K. Nwokike, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • North Las Vegas, NV
National Provider Identifier
1689612624
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
12597 Issued in NV
Practice address
5105 Camino Al Norte
100
North Las Vegas, NV 89031-2373
Phone
(702) 750-2438
Fax
(702) 750-2173
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 12597 NV Primary

Addresses

Primary practice location

5105 Camino Al Norte
100
North Las Vegas, NV 89031-2373

Mailing address

5105 Camino Al Norte
100
North Las Vegas, NV 89031-2373
Phone (702) 750-2438

Other identifiers 1

IdentifierTypeStateIssuer
1689612624MedicaidNV

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
I20090420000467 NV Practitioner - Endocrinology 2769389485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier Medical and Behavioral Center IncGroup PAC ID 4183912017, 5 clinicians

Practice addresses (Care Compare)

5105 Camino Al Norte
Suite 100
N Las Vegas, NV 89031-2373
Phone (702) 750-2438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12597NVMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Medical & Behavioral Center Inc Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2018 Accepting new patients
Hospital Physician Services, LLLP Endocrinology, Diabetes & Metabolism Past Accepting new patients
Howard University Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

5105 Camino Al Norte
Ste 100
North Las Vegas, NV 89031
Phone (702) 750-2438

Organizations & group practices 4

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1689612624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 CAMINO AL NORTE",
            "address_2": "100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-750-2438",
            "fax_number": "702-750-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 CAMINO AL NORTE",
            "address_2": "100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-750-2438",
            "fax_number": "702-750-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKIKE",
        "first_name": "MARIA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NV",
            "license": "12597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689612624",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.