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MAHDIKA KEYONNA BROWN DO
NPI 1770042079
Pediatrics - Pediatric Emergency Medicine in Las Vegas, NV

Active since March 16, 2019PECOS EnrolledAccepts Medicare Assignment
657 N TOWN CENTER DR, LAS VEGAS, NV 89144(702) 233-7000 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2025, Mar 18, 2025, Mar 8, 2025 and 2 more (5 updates tracked since 2019).

About Mahdika Keyonna Brown Do NPPES

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

MAHDIKA KEYONNA BROWN DO (NPI 1770042079) is an individual pediatric emergency medicine provider in Las Vegas, Nevada, licensed in Nevada (DO3245) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2019).

NPPES Registry Identity

NPI1770042079
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameMAHDIKA KEYONNA BROWNCredential: DO
Location Address657 N TOWN CENTER DRLas Vegas, NV 89144-6367
Mailing Address10091 Icicle Ridge CtLas Vegas, NV 89141-8901 · (575) 312-4382
Phone(702) 233-7000
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2019
Enumeration DateMarch 16, 2019
Last NPPES UpdateOctober 23, 20255 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1770042079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NV · DO3245
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License DO3245 (NV)
657 N TOWN CENTER DR, Las Vegas, NV 89144
Open in Google Maps ↗

Other Names 1

Former Name (1)Mahdika Keyonna Johnson Underwood

Secondary Practice Location 1

Location 13186 S Maryland PkwyLas Vegas, NV 89109-2317 · Phone (702) 961-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mahdika Keyonna Brown Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274862289
PECOS Enrollment IDI20240606000164
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mahdika Brown reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shadow Emergency Physicians PLLC
3.4 mi
Emergency Medicine
10290 W FLAMINGO RD
Las Vegas, NV 89135
  • Reassigned Medicare billing, Nevada enrollment
  • 161 clinicians in this Medicare group
NPI 1043030919 (954) 939-5000
Unlv Medicine
7.9 mi
Internal Medicine
3016 W CHARLESTON BLVD STE 100
Las Vegas, NV 89102
  • Reassigned Medicare billing, Nevada enrollment
  • 286 clinicians in this Medicare group
NPI 1407397235 (702) 895-0497

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

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.

KORY CHARLOT
Registered Nurse (Critical Care Medicine)
657 N TOWN CENTER DR
LAS VEGAS, NV 89144
Clark County (660) 525-5432
POKROY MEDICAL GROUP OF NEVADA, LTD.
Pediatrics (Neonatal-Perinatal Medicine)
657 N TOWN CENTER DR
LAS VEGAS, NV 89144
Clark County (800) 243-3839
MRS. AHUNNA CHITURU OKOYE
Pharmacist
657 N TOWN CENTER DR
LAS VEGAS, NV 89144
Clark County (702) 233-7380
IRSHAN A RAJPUT M.D.
Pediatrics (Neonatal-Perinatal Medicine)
657 N TOWN CENTER DR
LAS VEGAS, NV 89144
Clark County (702) 233-7787
TINA GLIDEWELL RD
Dietitian, Registered
657 N TOWN CENTER DR
LAS VEGAS, NV 89144
Clark County (702) 233-7591
JILL ANN FINCHER MSN, NNP
Nurse Practitioner (Neonatal)
657 N TOWN CENTER DR
LAS VEGAS, NV 89144
Clark County (702) 233-7786
JERALD ABELLO
Physical Therapist
657 N TOWN CENTER DR
LAS VEGAS, NV 89144
Clark County (702) 233-7000
MELANIE ROSE WILLIAMS WALLACE NNP
Nurse Practitioner (Neonatal)
657 N TOWN CENTER DR
LAS VEGAS, NV 89144
Clark County (702) 233-7000

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 Mahdika Brown's NPI number?

The NPI number for Mahdika Brown is 1770042079. It was assigned to this individual provider in the NPPES registry on March 16, 2019. The provider is also known as Mahdika Keyonna Johnson Underwood.

Where is Mahdika Brown located?

Mahdika Brown practices at 657 N Town Center Dr, Las Vegas, NV 89144. The listed phone number is (702) 233-7000.

What is Mahdika Brown's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Mahdika Brown enrolled in Medicare?

Yes. Mahdika Brown is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mahdika Brown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahdika Brown reassigns Medicare benefits to 2 organizations: Shadow Emergency Physicians PLLC (Las Vegas, NV) and Unlv Medicine (Las Vegas, NV). Each 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 Mahdika Brown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mahdika Brown was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.