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GRAND DESERT MEDICAL
NPI 1477980894
Family Medicine in Las Vegas, NV

Active since September 30, 2013CLIA 29D2178947 · Waiver
2001 S RAINBOW BLVD, SUITE 130, LAS VEGAS, NV 89146(702) 202-0099(702) 778-7632 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grand Desert Medical NPPES

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

GRAND DESERT MEDICAL (NPI 1477980894) is a healthcare organization registered as a family medicine in Las Vegas, Nevada and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Chinyere L Okeke, President/ Physician, as its authorized official.

NPPES Registry Identity

NPI1477980894
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHINYERE OKEKE MD LTD
Location Address2001 S RAINBOW BLVD, SUITE 130Las Vegas, NV 89146-2990
Mailing AddressPo Box 400997Las Vegas, NV 89140-0997 · (702) 202-0099 · Fax (702) 778-7632
Phone(702) 202-0099
Fax(702) 778-7632
Organization SubpartNo
Authorized OfficialChinyere L OkekePresident/ Physician · (702) 202-0099
Enumeration DateSeptember 30, 2013
✔ NPI 1477980894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 14416
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2001 S RAINBOW BLVD, Las Vegas, NV 89146
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Other Names 1

Doing Business AsGrand Desert Medical

Other Identifiers 2

Other1255562880NV · Individual Npi
Medicaid1255562880NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Desert Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grand Desert Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chinyere Okeke, MD
Family Practice
NPI 1255562880
3110 S. DURANGO DRIVE STE 200
Las Vegas, NV 89117
(702) 629-2986
✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2178947

Grand Desert Medical Services-S Durango Dr · Las Vegas, NV
Active · expires Feb 10, 2028
CLIA Number29D2178947
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2026
Certificate Expiration DateFebruary 10, 2028
Laboratory DirectorChinyere L. Okeke
Laboratory Phone(702) 629-2986
Laboratory LocationGrand Desert Medical Services-S Durango Dr3110 S Durango Dr Ste 200, Las Vegas, NV 89117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chinyere Okeke MD Ltd's NPI number?

The NPI number for Chinyere Okeke MD Ltd is 1477980894. It was assigned to this organization in the NPPES registry on September 30, 2013. The provider is doing business as Grand Desert Medical.

Where is Chinyere Okeke MD Ltd located?

Chinyere Okeke MD Ltd is located at 2001 S Rainbow Blvd Suite 130, Las Vegas, NV 89146. The listed phone number is (702) 202-0099.

What is Chinyere Okeke MD Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Chinyere Okeke MD Ltd enrolled in Medicare?

Yes. Chinyere Okeke MD Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chinyere Okeke MD Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Chinyere Okeke MD Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Chinyere Okeke MD Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2178947) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chinyere Okeke MD Ltd was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.