Organization Active NPI

Desert Gastroenterology Associates

  • Gastroenterology Physician
  • Henderson, NV
National Provider Identifier
1801926324
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5306 Issued in NV
Legal business name
DESERT GASTROENTEROLOGY ASSOCIATES
Practice address
2625 Wigwam Pkwy Ste 112
Henderson, NV 89074-7326
Phone
(702) 255-5900
Fax
(702) 255-5980
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Adedayo O MokuoluNPI 1467485409
Title
Owner
Phone
(702) 255-5900

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 5306 NV Primary

Addresses

Primary practice location

2625 Wigwam Pkwy Ste 112
Henderson, NV 89074-7326

Mailing address

2625 Wigwam Pkwy Ste 112
Henderson, NV 89074-7326
Phone (702) 255-5900

Other practice location 1

3235 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3188
Phone (702) 255-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090519000325 NV Part B Supplier - Clinic/Group Practice 6507842481 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

2510 Wigwam Pkwy
Ste 102
Henderson, NV 89074
Phone (702) 255-5900

1110 Wigwam Pkwy
#105
Henderson, NV 89074
Phone (702) 564-1344

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1801926324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 WIGWAM PKWY STE 112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747326",
            "telephone_number": "702-255-5900",
            "fax_number": "702-255-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WIGWAM PKWY STE 112",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747326",
            "telephone_number": "702-255-5900",
            "fax_number": "702-255-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 E Warm Springs Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891203188",
            "country_code": "US",
            "telephone_number": "702-255-5900",
            "fax_number": "702-255-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "MOKUOLU",
        "authorized_official_first_name": "ADEDAYO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-255-5900"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "5306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.