Active NPI
Desert Gastroenterology Associates
- Gastroenterology Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5306
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adedayo O Mokuolu
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Henderson, NV
- NPI 1467485409
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.