Active NPI
Bernard K. Addo-Quaye, M.D.
- Family Medicine Physician
- Las Vegas, NV
On this page
- Key facts
- Organizations & group practices6
- Hospital & facility affiliations5
- Owned or controlled facilities with NPI records1
- Care Compare profile
- Medicare participation
- All facility ownership & control disclosures1
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers2
- NPI Registry JSON
- Other providers in Las Vegas, NV
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9413
- Practice address
- 1721 E Charleston Blvd FL 3
Las Vegas, NV 89104-1902 - Phone
- (702) 685-0620
- Fax
- (702) 685-9674
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Las Vegas, NV
- NPI 1467801134
Family Medicine, NV
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1548301252
-
- Pediatrics Physician
- Highland, IN
- NPI 1285182147
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1417355256
-
- Home Health Agency
- Las Vegas, NV
- NPI 1902132954
-
- Home Health Agency
- Las Vegas, NV
- NPI 1134683543
-
- Home Health Agency
- Las Vegas, NV
- NPI 1598259731
-
- Home Health Agency
- Las Vegas, NV
- NPI 1598224263
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1720235575
Contracted Managing Employee
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bernard Addo-Quaye MD PCJingle Ching Kavinta PLLC
Practice addresses (Care Compare)
1721 E Charleston Blvd
Las Vegas, NV 89104-1902
Phone (702) 685-0620
2831 Saint Rose Pkwy
Suite 200
Henderson, NV 89052-4841
Phone (702) 824-3277
Hospital & facility affiliations
- Red Rock Home Health Inc
- Radmed Home Health Care, LLC
- Peace of Mind Home Health Agency, LLC
- Mountain Crest Home Health
- Angel'S Hope Home Health, Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 26 |
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
All facility ownership & control disclosures 1
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Promise Home Health Inc | Home health agency | Contracted Managing Employee | Dec 1, 2012 |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060206000797 | NV | Practitioner - Internal Medicine | 2860470036 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5999 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ebonny Behavioral Care Services Corporation | Family Medicine | Current | Accepting new patients |
| Quality Health Center, LLC | Current | Accepting new patients | |
| Jingle Ching Kavinta PLLC | Current | Accepting new patients | |
| Bernard Addo-Quaye MD PC | Family Medicine | Current | Accepting new patients |
| Trucare Medical Center | Past | Accepting new patients | |
| Acres Home Heart and Vascular Institute | Past | Accepting new patients |
Locations
2831 Saint Rose Pkwy
Ste 200
Henderson, NV 89052
Phone (702) 355-9024
1721 E Charleston Blvd
Ste 300
Las Vegas, NV 89104
2625 S Rainbow Blvd
Ste C102
Las Vegas, NV 89146
Phone (702) 387-4577
1721 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 515-9680
1721 E Charleston Blvd
Fl 3
Las Vegas, NV 89104
Phone (702) 685-0620
501 S Rancho Dr
Ste F38
Las Vegas, NV 89106
Phone (702) 258-1173
1721 E Charleston Blvd
#3
Las Vegas, NV 89104
2290 McDaniel St
Ste 2A
North Las Vegas, NV 89030
Phone (702) 657-6365
2290 McDaniel St
#2A
North Las Vegas, NV 89030
Phone (702) 657-6365
1815 E Lake Mead Blvd
Ste 210
North Las Vegas, NV 89030
Phone (702) 657-6365
Interoperability endpoints
- https://api.platform.athenahealth.com/15021/brand/1/csg/1/fhir/r4
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M5999 | TX | |
| Family Medicine Physician | 207Q00000X | 9413 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1721 E Charleston Blvd FL 3
Las Vegas, NV 89104-1902
Mailing address
1721 E Charleston Blvd FL 3
Las Vegas, NV 89104-1902
Phone (702) 685-0620
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002018398 | Medicaid | NV | |
| 003102438 | Medicaid | NV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2025.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1922009208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 E CHARLESTON BLVD FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891041902",
"telephone_number": "702-685-0620",
"fax_number": "702-685-9674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 E CHARLESTON BLVD FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891041902",
"telephone_number": "702-685-0620",
"fax_number": "702-685-9674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDO-QUAYE",
"first_name": "BERNARD",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M5999",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "9413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002018398",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003102438",
"state": "NV"
}
],
"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 Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.