Cyril Ovuworie, M.D. Prof. Corp

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

4010ESR-0 Issued in NV

Legal business name

CYRIL OVUWORIE, M.D. PROF. CORP

Doing business as

Red Moon Dialysis

Practice address

900 S Main St
Las Vegas, NV 89101-6425

Phone

(702) 383-9741

NPI assigned

Jan 2, 2007

Organization subpart

No

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.NPI 1255498135

Title

Medical Director

Phone

(702) 383-9741

Specialties & licenses 1

Addresses

Other names 1

• Red Moon Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cyril Akokotu Ovuworie, M.D

  • Nephrology Physician
  • Las Vegas, NV
  • NPI 1255498135
  NPD (past) Authorized official

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": "1770640666",
    "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": "702-383-9741"
        },
        {
            "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": "702-383-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRIL OVUWORIE, M.D. PROF. CORP",
        "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": "702-383-9741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NV",
            "license": "4010ESR-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Moon Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia S Payne OD LLC
• Tyshae Cypress
• Natasha Cyprian
• Heidi Cyr
• Kristy Cyr
• Stephie Theresa Cyril, DMD
• Dianne Cyrkiel, M.S.N.,C.P.N.P.,R.N.
• Cyti Health Providers PC
• Christina Theresa Michelle Czarneski
• Miroslaw Czarnik, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nevada

• 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.

Verify at the official NPI Registry.