DR. SAMUEL EWALEFO MD
NPI 1346702412
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Q: What is Samuel Ewalefo's NPI number?

The NPI number for Samuel Ewalefo is 1346702412. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Q: What is Samuel Ewalefo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Ewalefo was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 05, 2019PECOS Enrolled

6655 S CIMARRON RD STE 100, LAS VEGAS, NV 89113(702) 853-3000 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Samuel Ewalefo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL EWALEFO MD (NPI 1346702412) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346702412

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SAMUEL EWALEFOCredential: MD

Location Address6655 S CIMARRON RD STE 100Las Vegas, NV 89113-2181

Mailing Address6655 S Cimarron Rd Ste 100Las Vegas, NV 89113-2181

Phone(702) 853-3000

Sole ProprietorNo

Enumeration DateApril 5, 2019

✔ NPI 1346702412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6655 S CIMARRON RD STE 100, Las Vegas, NV 89113

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Ewalefo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDLER WILLIAMS

Student in an Organized Health Care Education/Training Program