Organization Active NPI

Matthew Okeke MD LTD

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1821378043
Registry record updated Sep 15, 2016
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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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Sep 15, 2016

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & 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.

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

Verify at the official NPI Registry.