DESERT GASTROENTEROLOGY ASSOCIATES
NPI 1801926324
Internal Medicine - Gastroenterology in Henderson, NV

Active since March 06, 2007CLIA 29D2350547 · Waiver
2625 WIGWAM PKWY STE 112, HENDERSON, NV 89074(702) 255-5900(702) 255-5980 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 27, 2022, May 18, 2021, Aug 20, 2019 (3 updates tracked since 2019).

About Desert Gastroenterology Associates NPPES

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

DESERT GASTROENTEROLOGY ASSOCIATES (NPI 1801926324) is a healthcare organization registered as a gastroenterology in Henderson, Nevada and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 9, 2028, maintains a secondary practice location in Las Vegas, and lists Adedayo O Mokuolu, Owner, as its authorized official.

NPPES Registry Identity

NPI1801926324
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameDESERT GASTROENTEROLOGY ASSOCIATES
Location Address2625 WIGWAM PKWY STE 112Henderson, NV 89074-7326
Mailing Address2625 Wigwam Pkwy Ste 112Henderson, NV 89074-7326 · (702) 255-5900 · Fax (702) 255-5980
Fax(702) 255-5980
Organization SubpartNo
Authorized OfficialAdedayo O MokuoluOwner · (702) 255-5900
Enumeration DateMarch 6, 2007
Last NPPES UpdateJune 22, 20263 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1801926324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NV · 5306
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2625 WIGWAM PKWY STE 112, Henderson, NV 89074

Secondary Practice Location 1

Location 13235 E Warm Springs Rd Ste 100Las Vegas, NV 89120-3188 · Phone (702) 255-5900 · Fax (702) 255-6004

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Desert Gastroenterology Associates, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Gastroenterology
NPI 1467485409
2625 WIGWAM PKWY STE 112
Henderson, NV 89074
(702) 255-5900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962167585
2625 WIGWAM PKWY
Henderson, NV 89074
(815) 530-9108
✔ PECOSSame address

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 29D2350547

Desert Gastroenterology Associates · Henderson, NV
Active · expires Sep 9, 2028
CLIA Number29D2350547
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2026
Certificate Expiration DateSeptember 9, 2028
Laboratory DirectorAdedayo O. Mokuolu
Laboratory Phone(702) 255-5900
Laboratory LocationDesert Gastroenterology Associates2625 Wigwam Pkwy Ste 112, Henderson, NV 89074
CLIA data matches this NPI record on: Address Name Phone
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 Desert Gastroenterology Associates's NPI number?

The NPI number for Desert Gastroenterology Associates is 1801926324. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Desert Gastroenterology Associates located?

Desert Gastroenterology Associates is located at 2625 Wigwam Pkwy Ste 112, Henderson, NV 89074. The listed phone number is (702) 255-5900.

What is Desert Gastroenterology Associates's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Desert Gastroenterology Associates enrolled in Medicare?

Yes. Desert Gastroenterology Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desert Gastroenterology Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Desert Gastroenterology Associates, in Gastroenterology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Desert Gastroenterology Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2350547) is associated with this NPI, valid through September 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Desert Gastroenterology Associates accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Desert Gastroenterology Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desert Gastroenterology Associates was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.