Individual provider Active NPI

Bernard K. Addo-Quaye, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1922009208
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9413 Issued in NV
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.

Hospital & facility affiliations 5

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bernard Addo-Quaye MD PC 3 clinicians
Jingle Ching Kavinta PLLC 5 clinicians

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 Home health agency, Las Vegas, NV, CCN 297261
  • Radmed Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297267
  • Peace of Mind Home Health Agency, LLC Home health agency, Las Vegas, NV, CCN 297325
  • Mountain Crest Home Health Home health agency, Las Vegas, NV, CCN 297187
  • Angel'S Hope Home Health, Inc. Home health agency, Las Vegas, NV, CCN 297227

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26

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.

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Promise Home Health IncLas Vegas, NV, CCN 297167 Home health agency Contracted Managing Employee Dec 1, 2012

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20060206000797 NV Practitioner - Internal MedicinePractitioner - Family Practice 2860470036 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5999TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ebonny Behavioral Care Services Corporation Family Medicine CurrentSince Nov 9, 2016 Accepting new patients
Quality Health Center, LLC CurrentSince Sep 28, 2021 Accepting new patients
Jingle Ching Kavinta PLLC CurrentSince Feb 1, 2021 Accepting new patients
Bernard Addo-Quaye MD PC Family Medicine CurrentSince Apr 1, 2001 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

  • FHIR API: https://api.platform.athenahealth.com/15021/brand/1/csg/1/fhir/r4

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5999 TX
Family Medicine Physician 207Q00000X 9413 NV Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
002018398MedicaidNV
003102438MedicaidNV

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

Verify at the official NPI Registry.