Individual provider Active NPI

Omar Baring Cabahug, M.D.

  • Neurology Physician
  • Henderson, NV
National Provider Identifier
1891895488
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
9764 Issued in NV
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

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002018299MedicaidNV
V35984OtherNVMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101030000187 NV Practitioner - NeurologyPractitioner - Psychiatry 4587858832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omar B Cabahug MD Prof CorpGroup PAC ID 7315926391, 2 clinicians
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

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 Hospital, Henderson, NV, CCN 290045
  • Boulder City Hospital Hospital, Boulder City, NV, CCN 291309

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9764NVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omar B Cabahug MD Prof Corp Neurology CurrentSince Mar 1, 2002 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.