Individual provider Active NPI

Foluke Adeyinka Uche, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1841472438
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12535 Issued in NV
Practice address
653 N Town Center Dr Ste 106
Las Vegas, NV 89144-0515
Phone
(702) 844-4842
Fax
(702) 844-4845
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12535 NV Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 106
Las Vegas, NV 89144-0515

Mailing address

2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950

Other practice location 1

5255 E Williams Cir Ste 3000
Tucson, AZ 85711-7407
Phone (520) 392-8400

Other practice location 2

2525 12th St SE Ste 260
Salem, OR 97302-2282
Phone (971) 701-9058

Other identifiers 3

IdentifierTypeStateIssuer
1841472438MedicaidNV
12535OtherNVSTATE LICENSE
P00664742OtherNVRAILROAD MEDICARE

Other names 1

  • Foluke Adekunle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080304000401 NV Practitioner - Internal Medicine 3072698885 Reassigns benefits to 1 organization
I20210105000112 OR Practitioner - Internal Medicine 3072698885

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bacchus Wakefield Kahan PCGroup PAC ID 5991069643, 20 clinicians

Practice addresses (Care Compare)

653 N Town Ctr Dr
Suite 106
Las Vegas, NV 89144-0515
Phone (702) 844-4842

Hospital & facility affiliations

  • Pelacho Home Health, Inc Home health agency, Las Vegas, NV, CCN 297309
  • Enhabit Home Health Home health agency, Las Vegas, NV, CCN 297115
  • Summerlin Hospital Medical Center Hospital, Las Vegas, NV, CCN 290041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12535NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group Coats LTD Internal Medicine Current Accepting new patients
Bacchus PC Internal Medicine CurrentSince Feb 11, 2021 Accepting new patients
Inpatient Consultants of Nevada, Inc. a Medical Corporation Internal Medicine Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Internal Medicine Past Accepting new patients

Locations

6296 E Grant Rd
Ste 140
Tucson, AZ 85712
Phone (520) 298-3321

5255 E Williams Cir
Ste 2020
Tucson, AZ 85711
Phone (520) 392-8400

100 N Green Valley Pkwy
Ste 239
Henderson, NV 89074
Phone (702) 844-4841

2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950

653 N Town Center Dr
Ste 106
Las Vegas, NV 89144
Phone (702) 363-3000

4275 Burnham Ave
Ste 320
Las Vegas, NV 89119
Phone (702) 735-8000

360 S Lola Ln
Bldg B
Pahrump, NV 89048
Phone (775) 505-0810

272 NW Medical Loop
Ste B
Roseburg, OR 97471
Phone (541) 229-7051

Interoperability endpoints

  • Direct secure messaging: foluke.uche.1@17520.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1841472438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-778-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440515",
            "telephone_number": "702-844-4842",
            "fax_number": "702-844-4845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5255 E Williams Cir Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857117407",
            "country_code": "US",
            "telephone_number": "520-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 12th St SE Ste 260",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022282",
            "country_code": "US",
            "telephone_number": "971-701-9058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UCHE",
        "first_name": "FOLUKE",
        "middle_name": "ADEYINKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841472438",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12535",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00664742",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FOLUKE",
            "last_name": "ADEKUNLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.