Active NPI
Kappellini Medical Inc.
- Nephrology Physician
- Las Vegas, NV
National Provider Identifier
1730246539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- C14-00412-3-116128
- Legal business name
- KAPPELLINI MEDICAL INC.
- Practice address
- 900 S Main St
Las Vegas, NV 89101-6425 - Phone
- (702) 369-3699
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cyril Akokotu Ovuworie, M.D.
- Title
- Medical Director
- Phone
- (702) 369-3699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | C14-00412-3-116128 | NV | Primary |
Addresses
Primary practice location
900 S Main St
Las Vegas, NV 89101-6425
Mailing address
900 S Main St
Las Vegas, NV 89101-6425
Phone (702) 369-3699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1815 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 360-6404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Las Vegas, NV
- NPI 1255498135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616544000000",
"number": "1730246539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S MAIN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016425",
"telephone_number": "702-369-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S MAIN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016425",
"telephone_number": "702-369-3699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAPPELLINI MEDICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A",
"authorized_official_last_name": "OVUWORIE",
"authorized_official_first_name": "CYRIL",
"authorized_official_middle_name": "AKOKOTU",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "702-369-3699",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NV",
"license": "C14-00412-3-116128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.