NEAL KWAME EKPOUDIA (MD) – Physical Medicine & Rehabilitation Physician, NPI 1558999243

NEAL KWAME EKPOUDIA (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. LL3569 (NV). The NPI Number for NEAL KWAME EKPOUDIA (MD) is 1558999243

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
NEAL KWAME EKPOUDIA (MD)
NPI
1558999243
Phone
Not provided
Address
5840 W CRAIG RD STE 120 #376
Enumeration Date
30 March 2020
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7029615000
Graduation Year
2020 (6 years ago)
PAC ID
1456776285
Group Practice PAC ID
9133479546
Professional Enrollment ID
I20240619002085
Address ID
NV891092317LA3186XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

130 PHYSICAL MEDICINE AND REHABILITATION in NV

Provider Addresses for NEAL KWAME EKPOUDIA (MD)

  • 5840 W CRAIG RD STE 120 #376

    LAS VEGAS, NV 891302562

    Phone:

    Type: Mailing

  • 3100 N TENAYA WAY

    LAS VEGAS, NV 891280436

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-05-15 • Largest payer in this snapshot: COLOPLAST CORP ($23).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240619002085IPhysical Medicine And RehabilitationNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89130)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133479546View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationCA
Physician AssistantNV
Physical Medicine And RehabilitationIN
Nurse PractitionerNV
Physical Medicine And RehabilitationCO
Physical Medicine And RehabilitationAZ
Nurse PractitionerNV
Physical Medicine And RehabilitationNY
Physical Medicine And RehabilitationPA
Physical Medicine And RehabilitationNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for NEAL KWAME EKPOUDIA (MD)?
NEAL KWAME EKPOUDIA (MD) — NPI 1558999243 — is the standard way to identify this listing.
Can I rely on NEAL KWAME EKPOUDIA (MD) being an active provider?
As of the registry snapshot, NEAL KWAME EKPOUDIA (MD) is marked active.
What is NEAL KWAME EKPOUDIA (MD) best known for clinically?
Directory data describes NEAL KWAME EKPOUDIA (MD) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What area does NEAL KWAME EKPOUDIA (MD) serve?
NEAL KWAME EKPOUDIA (MD)'s listing highlights Las Vegas, Nevada; more addresses can appear in NPPES.
Why does NEAL KWAME EKPOUDIA (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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