IKENNA MAXIMILLIUS OBILOR MD
NPI 1659011302
Student in an Organized Health Care Education/Training Program in Las Vegas, NV
About Ikenna Maximillius Obilor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IKENNA MAXIMILLIUS OBILOR MD (NPI 1659011302) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ikenna Maximillius Obilor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAS VEGAS, NV 89102
LAS VEGAS, NV 89102
LAS VEGAS, NV 89102
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 Ikenna Obilor's NPI number?
The NPI number for Ikenna Obilor is 1659011302. It was assigned to this individual provider in the NPPES registry on March 30, 2022.
Where is Ikenna Obilor located?
Ikenna Obilor practices at 2040 W Charleston Blvd Fl 3, Las Vegas, NV 89102. The listed phone number is (702) 774-2327.
What is Ikenna Obilor's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ikenna Obilor enrolled in Medicare?
Yes. Ikenna Obilor is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ikenna Obilor was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ikenna Maximillius Obilor, MD · NPI 1659011302
Student in an Organized Health Care Education/Training Program provider in Las Vegas, Nevada. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1659011302 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2040 W CHARLESTON BLVD FL 3, Las Vegas, NV 89102-2227
- **Phone:** (702) 774-2327
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659011302) · Data from the CMS NPPES public registry.