Active NPI
Matthew Okeke MD LTD
- Psychiatry Physician
- Las Vegas, NV
National Provider Identifier
1821378043
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MATTHEW OKEKE MD LTD
- Practice address
- 2021 S Jones Blvd
Las Vegas, NV 89146-3137 - Phone
- (702) 202-0099
- Fax
- (702) 778-7632
- NPI assigned
- Aug 18, 2011
- 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
- Matthew O Okeke, MD
- Title
- President
- Phone
- (702) 202-0099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
2021 S Jones Blvd
Las Vegas, NV 89146-3137
Mailing address
2021 S Jones Blvd
Las Vegas, NV 89146-3137
Phone (702) 202-0099
Other names 1
- GRAND DESERT PSYCHIATRIC SERVICES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Mental Health Counselor
- Las Vegas, NV
- NPI 1902377799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473897600000",
"number": "1821378043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463137",
"telephone_number": "702-202-0099",
"fax_number": "702-778-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463137",
"telephone_number": "702-202-0099",
"fax_number": "702-778-7632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW OKEKE MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-18",
"last_updated": "2016-09-15",
"status": "A",
"authorized_official_last_name": "OKEKE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-202-0099",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GRAND DESERT PSYCHIATRIC SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.