NPIMap

Individual provider Active NPI

Samson Oriaku Otuwa, MD

  • Pediatric Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1750356846
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
C2379 Issued in KY
Practice address
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone
(702) 383-2000
Fax
(702) 383-3620
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C2379 KY
Anesthesiology Physician 207L00000X 11420 NV
Pediatric Anesthesiology Physician 207LP3000X C2379 KY Primary

Addresses

Primary practice location

1800 W Charleston Blvd
Las Vegas, NV 89102

Mailing address

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 383-2000

Other practice location 1

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-6000

Other identifiers 4

IdentifierTypeStateIssuer
002082602MedicaidNV
1750356846MedicaidNV
7616868OtherNCNORTH CAROLINA
XPY202599Q80OtherNVCALIFORNIA MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050617000229 NV Practitioner - Anesthesiology 9537103841 Reassigns benefits to 4 organizations
I20240514000616 KY Practitioner - Anesthesiology 9537103841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Hospital & facility affiliations

  • University Medical Center Hospital, Las Vegas, NV, CCN 290007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11420NVMDAnesthesiology Physician
33606TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC Current Accepting new patients
University Medical Center of Southern Nevada CurrentSince May 17, 2023 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Dec 1, 2019 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Dec 1, 2019 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Apr 9, 2024 Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology CurrentSince Dec 22, 2022 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 13, 2005 Accepting new patients
University Medical Center of Southern Nevada CurrentSince May 17, 2023 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Apr 9, 2024 Accepting new patients
Norton Hospitals Inc Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Texas Children'S Hospital Past Accepting new patients
Norton Hospitals Inc Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Interoperability endpoints

  • Direct secure messaging: sotuwa12892@direct.umcsn.com

Organizations & group practices 18

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

View all 18

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1750356846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-383-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-383-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021821",
            "country_code": "US",
            "telephone_number": "502-629-6000",
            "fax_number": "502-451-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTUWA",
        "first_name": "SAMSON",
        "middle_name": "ORIAKU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "C2379",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "11420",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "KY",
            "license": "C2379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002082602",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750356846",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA",
            "identifier": "7616868",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAID",
            "identifier": "XPY202599Q80",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.