Individual provider Active NPI

Baker Hillawy, MD

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1427408749
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A160960 Issued in CA
Practice address
4445 Magnolia Ave
Riverside, CA 92501
Phone
(951) 788-3000
NPI assigned
Jun 17, 2016
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A160960 CA Primary

Addresses

Primary practice location

4445 Magnolia Ave
Riverside, CA 92501

Mailing address

12223 Highland Ave Ste 106-526
Rancho Cucamonga, CA 91739-2574
Phone (909) 204-4191

Other practice location 1

22101 Moross Rd
Detroit, MI 48236-2148
Phone (774) 444-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128001195 CA Practitioner - HospitalistPractitioner - Internal Medicine 5193019701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Medical Group of Southern CaliforniaGroup PAC ID 3779921952, 10 clinicians

Practice addresses (Care Compare)

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 887-6333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A160960CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Group of Southern California Single Specialty CurrentSince Feb 18, 2024 Accepting new patients
Elite Ambulatory Services GP Internal Medicine CurrentSince Aug 3, 2025 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Single Specialty CurrentSince May 1, 2023 Accepting new patients
Inpatient Specialists of California, PC Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Moustapha Abidali DO Professional Medical Corporation Single Specialty PastSince Aug 18, 2019 Accepting new patients

Locations

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

8816 Foothill Blvd
#103338
Rch Cucamonga, CA 91730

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

242 E Airport Dr
Ste 100
San Bernardino, CA 92408
Phone (626) 628-5227

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1427408749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12223 HIGHLAND AVE STE 106-526",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392574",
            "telephone_number": "909-204-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92501",
            "telephone_number": "951-788-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22101 Moross Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362148",
            "country_code": "US",
            "telephone_number": "774-444-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLAWY",
        "first_name": "BAKER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A160960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.