1. Home
  2. Directory
  3. Nevada
  4. Nellis Afb
  5. Orthopaedic Surgery
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FORTUNE EGBULEFU MD
NPI 1497002471
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Nellis Afb, NV

Active since August 09, 2012PECOS Enrolled
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-3040 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Aug 8, 2023, Apr 14, 2021 and 5 more (8 updates tracked since 2017).

About Fortune Egbulefu Md NPPES

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

FORTUNE EGBULEFU MD (NPI 1497002471) is an individual adult reconstructive orthopaedic surgery provider in Nellis Afb, Nevada, licensed in Nevada (20444) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1497002471
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameFORTUNE EGBULEFUCredential: MD
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-3040
Phone(702) 653-3040
Sole ProprietorNo
Enumeration DateAugust 9, 2012
Last NPPES UpdateJuly 21, 20268 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1497002471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in NV · 20444
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 36953 (WV)
4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191
Open in Google Maps ↗

Secondary Practice Locations 5

Location 129 Hospital Plz Ste CWeston, WV 26452-8471 · Phone (304) 269-4431
Location 2230 Hospital PlzWeston, WV 26452-8558 · Phone (304) 269-8000
Location 3812 Gorman AveElkins, WV 26241-3181 · Phone (304) 636-3300
Location 4801 Gorman AveElkins, WV 26241-3147 · Phone (304) 637-4509
Location 5330 S Lola Ln Ste 200Pahrump, NV 89048-0879 · Phone (775) 751-7100 · Fax (775) 751-7824

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fortune Egbulefu 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.

DR. WILBERT CAIN M.D.
Family Medicine
4700 LAS VEGAS BLVD N, NELLIS AFB
LAS VEGAS, NV 89191
Clark County (702) 653-3218
DR. CHARLES S TIMNAK M.D.,
Psychiatry & Neurology (Psychiatry)
4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL
NELLIS AFB, NV 89191
Clark County (702) 653-3880
LYNN MARIE HARVEY CNM
Advanced Practice Midwife
4700 LAS VEGAS BLVD N, 99 MSGS/SGCG
NELLIS AFB, NV 89191
Clark County (702) 653-2300
99TH MEDICAL GROUP, NELLIS AFB
Dentist (General Practice)
4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL
NELLIS AFB, NV 89191
Clark County (702) 653-2616
AMY LYN HASSEN PT
Physical Therapist
4700 LAS VEGAS BLVD N, NELLIS AFB
LAS VEGAS, NV 89191
Clark County (702) 653-3100
MR. JOHN VICTOR NOTABARTOLO PA-C
Physician Assistant (Medical)
4700 LAS VEGAS BLVD N, 99 AMDS/SGPF
LAS VEGAS, NV 89191
Clark County (702) 653-3337
MS. BRENDA MATTHEWS MSW
Social Worker (Clinical)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-3880
DR. JOHN CHAN DDS
Dentist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Clark County (702) 653-2657

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 Fortune Egbulefu's NPI number?

The NPI number for Fortune Egbulefu is 1497002471. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Fortune Egbulefu located?

Fortune Egbulefu practices at 4700 Las Vegas Blvd N, Nellis Afb, NV 89191. The listed phone number is (702) 653-3040.

What is Fortune Egbulefu's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Fortune Egbulefu enrolled in Medicare?

Yes. Fortune Egbulefu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fortune Egbulefu was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.