Organization Active NPI

C M Medical

  • Nephrology Physician
  • Las Vegas, NV
National Provider Identifier
1902304769
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17156 Issued in NV
Legal business name
C M MEDICAL
Practice address
3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440
Phone
(702) 256-3637
NPI assigned
Jan 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Chike Magnus Nzerue, MDNPI 1912976762
Title
MD
Phone
(404) 556-7313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 17156 NV Primary

Addresses

Primary practice location

3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440

Mailing address

3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440
Phone (702) 256-3637

Other identifiers 1

IdentifierTypeStateIssuer
1912976762OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180501002238 NV Part B Supplier - Clinic/Group Practice 9335403278 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1902304769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174440",
            "telephone_number": "702-256-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 S DURANGO DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891174440",
            "telephone_number": "702-256-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C M MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "NZERUE",
        "authorized_official_first_name": "CHIKE",
        "authorized_official_middle_name": "MAGNUS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "404-556-7313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NV",
            "license": "17156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912976762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.