Active NPI
Omar Baring Cabahug, M.D.
- Neurology Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 9764
- Practice address
- 2500 Wigwam Pkwy Ste 112
Henderson, NV 89074-7113 - Phone
- (702) 914-6994
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 9764 | NV | Primary |
Addresses
Primary practice location
2500 Wigwam Pkwy Ste 112
Henderson, NV 89074-7113
Mailing address
2500 Wigwam Pkwy
Suite 112
Henderson, NV 89074-7112
Phone (702) 914-6994
Other practice location 1
2500 Wigwam Pkwy
Suite 112
Henderson, NV 89074-7112
Phone (702) 914-6994
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018299 | Medicaid | NV | |
| V35984 | Other | NV | MEDICARE ID-PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Wigwam Pkwy
Suite 112
Henderson, NV 89074-7113
Phone (702) 914-6994
2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522
Hospital & facility affiliations
- Saint Rose Dominican Hospitals - Siena Campus
- Boulder City Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9764 | NV | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omar B Cabahug MD Prof Corp | Neurology | Current | Accepting new patients |
| North Vista Hospital LLC | Past | Accepting new patients |
Locations
2500 Wigwam Pkwy
Ste 112
Henderson, NV 89074
Phone (702) 914-6994
Organizations & group practices 3
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.
-
- Neurology Physician
- Henderson, NV
- NPI 1467638668
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1538694104
-
- Psychiatric Hospital Unit
- North Las Vegas, NV
- NPI 1619050549
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Boulder City, NV
- NPI 1881739613
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1891895488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 WIGWAM PKWY",
"address_2": "SUITE 112",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747112",
"telephone_number": "702-914-6994",
"fax_number": "702-914-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WIGWAM PKWY STE 112",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747113",
"telephone_number": "702-914-6994"
}
],
"practiceLocations": [
{
"address_1": "2500 Wigwam Pkwy",
"address_2": "Suite 112",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890747112",
"country_code": "US",
"telephone_number": "702-914-6994",
"fax_number": "702-914-5880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABAHUG",
"first_name": "OMAR",
"middle_name": "BARING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NV",
"license": "9764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018299",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-PIN",
"identifier": "V35984",
"state": "NV"
}
],
"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 Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.